Provider Demographics
NPI:1609929751
Name:MESSIAN, RICHARD AUGUSTUS (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:AUGUSTUS
Last Name:MESSIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2415 HIGH SCHOOL AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-1800
Mailing Address - Country:US
Mailing Address - Phone:925-687-9650
Mailing Address - Fax:925-685-8447
Practice Address - Street 1:2415 HIGH SCHOOL AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-1800
Practice Address - Country:US
Practice Address - Phone:925-687-9650
Practice Address - Fax:925-685-8447
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG268490207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA942184663OtherMY CORPORATION TAX ID #
CAA43114Medicare UPIN
CA942184663OtherMY CORPORATION TAX ID #