Provider Demographics
NPI:1336105972
Name:PALOMBO, DAVID A (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:PALOMBO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9101 STONY POINT DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-1979
Mailing Address - Country:US
Mailing Address - Phone:804-330-9105
Mailing Address - Fax:804-287-6119
Practice Address - Street 1:9101 STONY POINT DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-1979
Practice Address - Country:US
Practice Address - Phone:804-330-9105
Practice Address - Fax:804-287-6119
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101 052944207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5275645OtherAETNA PPO
VAP00094243OtherRAILROAD MEDICARE
VA56656OtherCARENET
VA2001915OtherUNITED HEALTHCARE
VA31112OtherSENTARA FAMILY CARE
VA5522160OtherCIGNA
VA42902OtherSOUTHERN HEALTH
VAC06623OtherMEDICARE GROUP #
VA2124071OtherALLIANCE
VA3667735OtherAETNA HMO
VACC6581OtherRAILROAD MEDICARE GROUP #
VA010066417Medicaid
VA56656OtherCARENET