Vesna Mrzljak, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0101035385 Issued in VA

Practice address

6300 Stevenson Ave
Unit a
Alexandria, VA 22304-3576

Phone

(703) 751-6060

Fax

(703) 751-6870

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1518977263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 STEVENSON AVE",
            "address_2": "UNIT A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043576",
            "telephone_number": "703-751-6060",
            "fax_number": "703-751-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 STEVENSON AVE",
            "address_2": "UNIT A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043576",
            "telephone_number": "703-751-6060",
            "fax_number": "703-751-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRZLJAK",
        "first_name": "VESNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101035385",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "VA",
            "license": "0101035385",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Otolaryngology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.