MEDICARE: MICHAEL C TRAHOS D.O.

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	207Q00000X	Family Medicine Physician	0102035626	VA
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician	0102035626	VA
3	207QA0505X	Adult Medicine Physician	0102035626	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
12	DD8984	OTHER	VA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	470178	OTHER	VA	AETNA HMO
3	8138371	OTHER	VA	MDIPA/OPTIMUM CHOICE HMO
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	976064	OTHER	VA	MAILHANDLERS PPO
6	1433740	OTHER	VA	CIGNA
7	4088139	OTHER	VA	AETNA
8	830434990	OTHER	VA	FAMILY PRACTICE
9	2138371	OTHER	VA	ONE NET PPO/UNITED HEALTHCARE
10	280953	OTHER	VA	UNITED HEALTHCARE PPO
11	8857-0001	OTHER	DC	CAREFIRST BC/BS OF NATIONAL CAPITAL AREA
13	1122318	OTHER	VA	FIRST HEALTH NETWORK
14	144441	OTHER	VA	SOUTHERN HEALTH SERV. INC
15	503495	OTHER	VA	UNICARE PPO
16	182247	OTHER	VA	ANTHEM BC/BS

General Provider Information

NPI Number	:	1851570899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL C TRAHOS D.O.

Provider Business Mailing Address
First Line	:	205 S WHITING ST STE 303
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22304-3632
Country	:	US
Telephone Number	:	703-998-4913
Fax Number	:	703-931-8171

Provider Business Practice Location Address
First Line	:	205 S WHITING ST STE 303
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22304-3632
Country	:	US
Telephone Number	:	703-998-4913
Fax Number	:	703-931-8171

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

Provider Enumeration Date	:	10/26/2007
Last Update Date	:	04/09/2025

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