Provider Demographics
NPI:1851343180
Name:LOTHE, ANAND P (MD)
Entity Type:Individual
Prefix:DR
First Name:ANAND
Middle Name:P
Last Name:LOTHE
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 1:4900 COX RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-6507
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
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101221423207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5875099Medicaid
021567V24Medicare PIN
02520Medicare UPIN
110008427Medicare ID - Type Unspecified