Provider Demographics
NPI:1447285119
Name:DORAN, ANNE S (MD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:S
Last Name:DORAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 WATERCOVE RD.
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-3982
Mailing Address - Country:US
Mailing Address - Phone:804-744-8140
Mailing Address - Fax:804-744-7390
Practice Address - Street 1:229 WADSWORTH DR.
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23236-4510
Practice Address - Country:US
Practice Address - Phone:804-228-3627
Practice Address - Fax:804-560-1312
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101055274207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5560584OtherAETNA HMO
VA005632102Medicaid
VA262132OtherMAMSI
VA43282OtherSENTARA
VA5560584OtherAETNA LIFE
VA223926OtherANTHEM BCBS OF VA
VAC04469OtherGROUP PTAN
VA080128430OtherRAILROAD MEDICARE
VA85586OtherSOUTHERN HEALTH SERVICES
VA5560584OtherAETNA LIFE
C05727Medicare PIN
VA262132OtherMAMSI
VA43282OtherSENTARA
VA223926OtherANTHEM BCBS OF VA
P00806735Medicare PIN
VAG48946Medicare UPIN
CN9477Medicare PIN