Provider Demographics
NPI:1790766897
Name:HARKRADER, JAMES C (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:C
Last Name:HARKRADER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2821 N PARHAM RD
Mailing Address - Street 2:#105
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4412
Mailing Address - Country:US
Mailing Address - Phone:804-747-7425
Mailing Address - Fax:804-346-9390
Practice Address - Street 1:2821 N PARHAM RD
Practice Address - Street 2:#105
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4412
Practice Address - Country:US
Practice Address - Phone:804-747-7425
Practice Address - Fax:804-346-9390
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2009-07-02
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Provider Licenses
StateLicense IDTaxonomies
VA0101019265207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6305610Medicaid
VA6305610Medicaid
VA182930356Medicare ID - Type Unspecified