Provider Demographics
NPI:1588924096
Name:POVCHER, OLGA (MD)
Entity type:Individual
Prefix:DR
First Name:OLGA
Middle Name:
Last Name:POVCHER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1625 N GEORGE MASON DR STE 454
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3684
Mailing Address - Country:US
Mailing Address - Phone:703-717-4200
Mailing Address - Fax:703-717-4201
Practice Address - Street 1:1625 N GEORGE MASON DR STE 454
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3684
Practice Address - Country:US
Practice Address - Phone:703-717-4200
Practice Address - Fax:703-717-4201
Is Sole Proprietor?:No
Enumeration Date:2012-05-18
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN63494208800000X
VA0101266322208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology