Organization
HEALTHWEST PC
Active
Organization
HEALTHWEST PC
Active
Other names
Dr Rozana Itskovich
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ITSKOVICH MDPHD (VICE PRESIDENT)
(804) 364-8802
Entity
Organization
Contact information
Practice address
7660 E PARHAM ROAD, SUITE 204, RICHMOND, VA 23294
(804) 364-8802
(804) 364-1288
Mailing address
PO BOX 28645, RICHMOND, VA 23228
(804) 364-8802
(804) 364-1288
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101058429
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1291545964657
AETNA
VA
01
—
258592
ANTHEM
VA
05
—
5863848
—
VA
Enumeration date
10/04/2006
Last updated
11/30/2007
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