# CHARLES B HADEN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477623940
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101035751 | VA | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 10/03/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0101035751 | STATE LICENSE | VA |
| 05 | — | 010375355 | — | VA |
| 01 | — | 080001681 | MEDICARE OTHER PROVIDER | VA |
| 01 | — | 1538518 | AETNA HMO | VA |
| 01 | — | 2163415 | MAMSI | VA |
| 01 | — | 298282 | ANTHEM TM | VA |
| 01 | — | 5290269 | AETNA NON HMO | VA |
| 01 | — | 633556 | AETNA CAP | VA |
| 01 | — | CA9037 | MCR RAILROAD GROUP | VA |
| 01 | — | CO2375 | MEDICARE GROUP | VA |