MEDICARE: DR. ANNA BARBARA KORZAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D57284	MD
2	207R00000X	Internal Medicine Physician	0101253109	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P000793447	OTHER	MD	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04-91885	OTHER	MD	EVERCARE
2	522096682004	OTHER		TRICARE NORTH

General Provider Information

NPI Number	:	1639178098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNA BARBARA KORZAN MD

Provider Business Mailing Address
First Line	:	2101 E JEFFERSON ST
Second Line	:	KAISER PERMANENTE MEDICARE ENROLLMENT
City	:	ROCKVILLE
State	:	MD
Zip	:	20852-4908
Country	:	US
Telephone Number	:	301-816-2424
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 N GEORGE MASON DR
Second Line	:	KAISER PERMANENTE VIRGINIA HOSPITAL CENTER
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3610
Country	:	US
Telephone Number	:	703-558-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	06/07/2021

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