Provider Demographics
NPI:1427036599
Name:RHAME, RICHARD C (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:C
Last Name:RHAME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7311 PARK TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22307-2038
Mailing Address - Country:US
Mailing Address - Phone:703-765-0809
Mailing Address - Fax:
Practice Address - Street 1:1707 OSAGE ST
Practice Address - Street 2:SUITE 301
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22302-2607
Practice Address - Country:US
Practice Address - Phone:703-836-8010
Practice Address - Fax:703-921-0285
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101016084208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB-93208Medicare UPIN