Healthcare Provider Details
I. General information
NPI: 1609869403
Provider Name (Legal Business Name): LINAS & ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2005
Last Update Date: 07/21/2022
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
- Phone: 804-225-1700
- Fax: 804-754-0503
- Phone: 800-919-1190
- Fax: 706-737-2271
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | VA |
VIII. Authorized Official
Name: DR.
PHILIP
AARON
LINAS
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 804-741-3701