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NPI Code Detail

MEDICARE: DR. RICHARD J AMEEN M.D.

MEDICARE: DR. RICHARD J AMEEN 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
1207R00000XInternal Medicine Physician0101038449VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336140508
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD J AMEEN M.D.
Provider Business Mailing Address
First Line : 12006 KILARNEY DR
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22407-7207
Country : US
Telephone Number : 540-786-9771
Fax Number : 540-548-8803
Provider Business Practice Location Address
First Line : 12006 KILARNEY DR
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22407-7207
Country : US
Telephone Number : 540-786-9771
Fax Number : 540-548-8803
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 10/28/2015

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