JOHN RANDOLPH FOREHAND MD

Allergy and Immunology

Richlands, Virginia

Provider NPI: 1902888258

Provider Information:
 JOHN RANDOLPH FOREHAND MD


Practice Location:
1 CLINIC DR CLAYPOOL HILL RICHLANDS, VA 24641 US
Tel: 276-964-1229  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	207K00000X	Physicians Allergy & Immunology	WV	20325
N	207K00000X	Physicians Allergy & Immunology	KY	38298
N	207RP1001X	Physicians Internal Medicine	KY	38298
N	207RP1001X	Physicians Internal Medicine	WV	20325
N	207RP1001X	Physicians Internal Medicine	VA	0101030006
N	207RP1001X	Physicians Internal Medicine	TN	50578
N	208000000X	Physicians Pediatrics	VA	0101030006
N	208000000X	Physicians Pediatrics	KY	38298
N	208000000X	Physicians Pediatrics	WV	20325
Y	207K00000X	Physicians Allergy & Immunology	VA	0101030006

Other Provider Identifiers:

Issuer	Number	State	Type
	0112319-000	WV	05
ANTHEM BCBS	083360		01
	64664279	KY	05
	010323118	VA	05
MEDICAL LICENSE	50578	TN	01
	6045359	VA	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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