Provider Demographics
NPI:1083683262
Name:LOVE, RODRICK N (MD)
Entity Type:Individual
Prefix:DR
First Name:RODRICK
Middle Name:N
Last Name:LOVE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7130 GLEN FOREST DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-3754
Mailing Address - Country:US
Mailing Address - Phone:804-288-4084
Mailing Address - Fax:804-282-8678
Practice Address - Street 1:7515 RIGHT FLANK ROAD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-3818
Practice Address - Country:US
Practice Address - Phone:804-288-4084
Practice Address - Fax:804-559-2046
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2013-04-25
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Provider Licenses
StateLicense IDTaxonomies
VA0101058243207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1083683262Medicaid
VA1083683262Medicaid
VAVAA113159Medicare PIN