Provider Demographics
NPI:1710070909
Name:WILLIAM K RAND, III, GYNECOLOGY PLLC
Entity Type:Organization
Organization Name:WILLIAM K RAND, III, GYNECOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:K
Authorized Official - Last Name:RAND
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:757-410-7390
Mailing Address - Street 1:824 GREENBRIER PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3697
Mailing Address - Country:US
Mailing Address - Phone:757-410-7390
Mailing Address - Fax:757-410-7395
Practice Address - Street 1:824 GREENBRIER PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3697
Practice Address - Country:US
Practice Address - Phone:757-410-7390
Practice Address - Fax:757-410-7395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA138049OtherANTHEM/HEALTHKEEPERS
VA76057OtherOPTIMA/SENTARA
VA3123719OtherMDIPA/OPTIMUM CHOICE
VAC09200VMedicare ID - Type Unspecified