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1629184239

NPI Code Detail

MEDICARE: MEREDITH LEIGH DIEHL MD

MEDICARE: MEREDITH LEIGH DIEHL 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	207WX0109X	Neuro-ophthalmology Physician	0101241405	VA
2	207W00000X	Ophthalmology Physician	T2004009604	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	014324V49	OTHER		MEDICARE

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	302628	OTHER		HEALTHKEEPERS
3	302628	OTHER		ANTHEM
4	7208981	OTHER	VA	AETNA
5	2168499	OTHER		UNITED HEALTH CARE
6	1629184239	OTHER		VA PREMIER
7	10022943	OTHER		OPTIMA
9	2168499	OTHER		MD IPA

General Provider Information

NPI Number	:	1629184239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEREDITH LEIGH DIEHL MD

Provider Business Mailing Address
First Line	:	3855 GASKINS RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23233-1441
Country	:	US
Telephone Number	:	804-290-4278
Fax Number	:	804-217-6400

Provider Business Practice Location Address
First Line	:	3855 GASKINS RD
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23233-1441
Country	:	US
Telephone Number	:	804-217-6363
Fax Number	:	804-217-6400

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

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	11/02/2020

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Directions to “ MEREDITH LEIGH DIEHL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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