Provider Demographics
NPI:1821084724
Name:HARFORD, RHONDEY IAN O'BRIEN (MD)
Entity Type:Individual
Prefix:DR
First Name:RHONDEY
Middle Name:IAN O'BRIEN
Last Name:HARFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4518 UNION DEPOSIT RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-2921
Mailing Address - Country:US
Mailing Address - Phone:717-652-5840
Mailing Address - Fax:717-652-8152
Practice Address - Street 1:4518 UNION DEPOSIT RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-2921
Practice Address - Country:US
Practice Address - Phone:717-652-5840
Practice Address - Fax:717-652-8152
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD073812L2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001841610Medicaid
PAP00757174OtherRAILROAD MEDICARE
PAP00757174OtherRAILROAD MEDICARE
PA048595V6CMedicare PIN
PA048595V6CMedicare PIN