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NPI Code Detail

MEDICARE: DR. KENNETH S HAFT M.D.

MEDICARE: DR. KENNETH S HAFT 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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician0101054682VA
2207RP1001XPulmonary Disease Physician0101054682VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2188463OTHERVAANTHEM PROVIDER NUMBER
321031OTHERVACARENET
4127875OTHERVASOUTHERN HEALTH
54800275OTHERVAUNITED HEALTHCAREE
6026890OTHERVACIGNA PROVIDER NUMBER
7006895400OTHERVABLACK LUNG
8188463OTHERVAANTHEM HEALTHKEEPERS
97101232OTHERVAMAMSI PROVIDER NUMBER

General Provider Information

NPI Number : 1972529717
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH S HAFT M.D.
Provider Business Mailing Address
First Line : 1000 BOULDERS PKWY
Second Line : SUITE 102
City : RICHMOND
State : VA
Zip : 23225-5545
Country : US
Telephone Number : 804-320-4243
Fax Number : 804-622-0552
Provider Business Practice Location Address
First Line : 6600 W BROAD ST STE 300
Second Line :
City : RICHMOND
State : VA
Zip : 23230-1709
Country : US
Telephone Number : 804-320-4243
Fax Number : 804-622-0552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 05/19/2021

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