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NPI Code Detail

MEDICARE: DR. HOWARD O. HAVERTY M.D.

MEDICARE: DR. HOWARD O. HAVERTY 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
1174400000XSpecialist0101045117VA

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 : 1942202882
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOWARD O. HAVERTY M.D.
Provider Business Mailing Address
First Line : 107 WADSWORTH DR
Second Line :
City : RICHMOND
State : VA
Zip : 23236-4521
Country : US
Telephone Number : 804-330-4901
Fax Number : 804-330-9142
Provider Business Practice Location Address
First Line : 223 WADSWORTH DR
Second Line :
City : RICHMOND
State : VA
Zip : 23236-4510
Country : US
Telephone Number : 804-560-9852
Fax Number : 804-330-4126
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 07/08/2007

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