Provider Demographics
NPI:1528130721
Name:LEWIS, DANYA DANUTA KRYSTYNA (MD)
Entity type:Individual
Prefix:
First Name:DANYA DANUTA
Middle Name:KRYSTYNA
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DANUTA
Other - Middle Name:K
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-446-5888
Mailing Address - Fax:757-446-5918
Practice Address - Street 1:825 FAIRFAX AVE
Practice Address - Street 2:SUITE 710
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1914
Practice Address - Country:US
Practice Address - Phone:757-446-5888
Practice Address - Fax:757-446-5918
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012612702084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1528130721OtherMAGELLAN HEALTHCARE
VA1528130721OtherANTHEM BEHAVIORAL HEALTH
1528130721OtherTRICARE/CHAMPUS
NC1528130721Medicaid
VA1528130721OtherVIRGINIA PREMIER HEALTH PLAN
VA1528130721OtherOPTIMA BEHAVIORAL HEALTH
VA1528130721OtherHUMANA
VA1528130721OtherCORVEL
VA1528130721OtherBEACON HEALTH OPTIONS
VA1528130721OtherVIRGINIA HEALTH NETWORK
VA1528130721OtherUNITED BEHAVIORAL HEALTH
VA1528130721Medicaid
VA1528130721OtherMULTIPLAN
VA1528130721OtherCIGNA BEHAVIORAL HEALTH
VA1528130721OtherUSA MANAGED CARE
VA1528130721OtherVIRGINIA HEALTH NETWORK
VAVVM921AMedicare PIN