| Doctor Name: | DR. MARK XENAKIS |
| NPI Number: | 1477586972 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 0101234821 |
| Business Practice Address: | 13700 St Francis Blvd Suite 600 Midlothian, VA - 231143222 |
| Business Phone Number: | 8047946400 |
| Business Fax Number: | 8048970910 |
| Mailing Address: | 7001 Forest Ave, Suite 200 RICHMOND |
| State: | VA |
| Postal Code: | 232301726 |
| Phone Number: | 8042883123 |
| Fax Number: | 8042886591 |
| NPI Enumeration Date: | 07/08/2006 |
| NPI Last Update Date: | 12/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 0101234821 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |