MEDICARE: DR. PHILIP AARON LINAS MD

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	207L00000X	Anesthesiology Physician	0101032419	VA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	0101032419	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	106872	OTHER	VA	ANTHEM BC

General Provider Information

NPI Number	:	1568458594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP AARON LINAS MD

Provider Business Mailing Address
First Line	:	PO BOX 630427
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21263-0427
Country	:	US
Telephone Number	:	800-919-1190
Fax Number	:	706-737-2271

Provider Business Practice Location Address
First Line	:	1500 N 28TH ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-5332
Country	:	US
Telephone Number	:	804-225-1700
Fax Number	:	804-754-0503

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

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	10/12/2007

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