Provider Demographics
NPI:1700871837
Name:HOWARD, RICHARD K (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:K
Last Name:HOWARD
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 1:211 TEMPLE AVE
Mailing Address - Street 2:
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834-2827
Mailing Address - Country:US
Mailing Address - Phone:804-526-0107
Mailing Address - Fax:804-526-4466
Practice Address - Street 1:211 TEMPLE AVE
Practice Address - Street 2:
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-2827
Practice Address - Country:US
Practice Address - Phone:804-526-0107
Practice Address - Fax:804-526-4466
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101235834208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA191842OtherANTHEM BCBS
VA105374OtherANTHEM
VA010265240Medicaid
VA010050316Medicaid
VA351623OtherANTHEM BCBS
VA7314790OtherCIGNA
VAD03499Medicare UPIN
VA351623OtherANTHEM BCBS
VA010082P80Medicare PIN