Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alex Dertad Manguikian, MD, PHD

Individual provider Ophthalmology Physician · NPI 1164657342

Alex Dertad Manguikian, MD, PHD is an Ophthalmology in Fairfax, Virginia. Graduated from George Washington University School of Medicine in 2009, 17 years ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
17
Trained at
George Washington University School of Medicine
Licensed in
VA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

9936 Main St
Fairfax, VA 22031-3901
Phone: (703) 591-4884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 0101253390 (VA)

Record details

NPI number1164657342
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedMay 18, 2009
Last updated in NPPESMarch 19, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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