Healthcare Provider Details

I. General information

NPI: 1568458594
Provider Name (Legal Business Name): PHILIP AARON LINAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 10/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N 28TH ST
RICHMOND VA
23223-5332
US

IV. Provider business mailing address

PO BOX 630427
BALTIMORE MD
21263-0427
US

V. Phone/Fax

Practice location:
  • Phone: 804-225-1700
  • Fax: 804-754-0503
Mailing address:
  • Phone: 800-919-1190
  • Fax: 706-737-2271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0101032419
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number0101032419
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: