MEDICARE: ANGELA ROSE VANLANDINGHAM M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	0101259011	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2951002	OTHER	VA	CIGNA

General Provider Information

NPI Number	:	1538331939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA ROSE VANLANDINGHAM M.D.

Provider Business Mailing Address
First Line	:	7202 GLEN FOREST DR.,
Second Line	:	SUITE 200
City	:	RICHMOND
State	:	VA
Zip	:	23226-3780
Country	:	US
Telephone Number	:	804-673-2024
Fax Number	:	804-673-1796

Provider Business Practice Location Address
First Line	:	7501 RIGHT FLANK RD STE 600
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-3863
Country	:	US
Telephone Number	:	804-559-2489
Fax Number	:	804-730-5847

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2008
Last Update Date	:	01/20/2022

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