Provider Demographics
NPI:1477614964
Name:VIRGINIA PHYSICIANS INC
Entity Type:Organization
Organization Name:VIRGINIA PHYSICIANS INC
Other - Org Name:HEMATOLOGY ONCOLOGY DIVISION
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LARUE
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:804-926-8571
Mailing Address - Street 1:PO BOX 70069
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23255-0069
Mailing Address - Country:US
Mailing Address - Phone:804-346-1780
Mailing Address - Fax:804-346-1781
Practice Address - Street 1:4900 COX RD
Practice Address - Street 2:SUITE 150
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-6507
Practice Address - Country:US
Practice Address - Phone:804-346-1780
Practice Address - Fax:804-346-1781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CB4716Medicare PIN
VAC06700Medicare PIN
CG1132Medicare PIN