Provider Demographics
NPI:1942323514
Name:MAY, V. ROBERT (RHD CDE II CRP)
Entity Type:Individual
Prefix:MR
First Name:V.
Middle Name:ROBERT
Last Name:MAY
Suffix:
Gender:M
Credentials:RHD CDE II CRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11768
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-0168
Mailing Address - Country:US
Mailing Address - Phone:804-353-4000
Mailing Address - Fax:804-213-9783
Practice Address - Street 1:5750 BROOK RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-2276
Practice Address - Country:US
Practice Address - Phone:804-262-2633
Practice Address - Fax:804-262-5072
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0715005221208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA01003806Medicaid
VA1033246335OtherGROUP NPI NUMBER
VAC06974Medicare ID - Type UnspecifiedGROUP NUMBER