VIRGINIA ADULT & PEDIATRIC ALLERGY & ASTHMA PC
Allergy and Immunology
Richmond, Virginia
Provider NPI: 1306883798
Organization Information:Organization Name: VIRGINIA ADULT & PEDIATRIC ALLERGY & ASTHMA PC
Practice Location:
7605 FOREST AVE SUITE 103 RICHMOND, VA 23229 US
Tel: 804-288-0055 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
7605 FOREST AVE SUITE 103 RICHMOND, VA 23229 US
Tel: 804-288-0055 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| X | 207K00000X | Physicians Allergy & Immunology | ||
| X | 332900000X | Suppliers Non-Pharmacy Dispensing Site |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| ANTHEM | 192047 | VA | 01 |
| ANTHEM | 001852 | VA | 01 |
| ANTHEM | 382746 | VA | 01 |
| ANTHEM | 110161 | VA | 01 |
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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