MEDICARE: DR. ESTHER MATIAS 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	0101026167	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	26070001	OTHER	DC	CARE FIRST
2	5411127240004	OTHER	MD	CIGNA
3	067105	OTHER	VA	BCBS - TRIGON HLTH KEEPER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770576266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ESTHER MATIAS MD

Provider Business Mailing Address
First Line	:	1707 BELLE VIEW BLVD
Second Line	:	A-2
City	:	ALEXANDRIA
State	:	VA
Zip	:	22307-6727
Country	:	US
Telephone Number	:	703-765-3520
Fax Number	:	703-765-9718

Provider Business Practice Location Address
First Line	:	1707 BELLE VIEW BLVD
Second Line	:	A-2
City	:	ALEXANDRIA
State	:	VA
Zip	:	22307-6727
Country	:	US
Telephone Number	:	703-765-3520
Fax Number	:	703-765-9718

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

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	04/22/2010

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Directions to “ DR. ESTHER MATIAS MD” Practice Location

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