MEDICARE: ALEXANDER ABOKA 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	207X00000X	Orthopaedic Surgery Physician	2006-0433	NM

General Provider Information

NPI Number	:	1952440950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER ABOKA MD

Provider Business Mailing Address
First Line	:	1232 PERIMETER PKWY STE 205
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-5924
Country	:	US
Telephone Number	:	757-448-5451
Fax Number	:

Provider Business Practice Location Address
First Line	:	1232 PERIMETER PKWY STE 205
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-5924
Country	:	US
Telephone Number	:	757-448-5451
Fax Number	:

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

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	04/19/2017

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