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Individual

DR. DOUGLAS H. LUDEMAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9101 STONY POINT DR, RICHMOND, VA 23235
(804) 330-9105
(804) 287-6119
Mailing address
9101 STONY POINT DR, RICHMOND, VA 23235
(804) 330-9105
(804) 287-6119

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101 033691
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007567855
VA
01
1900002
UNITED HEALTHCARE
VA
01
224680123
TRICARE
VA
01
24391
ALLIANCE
VA
01
2583
CIGNA
VA
01
340013655
RAILROAD MEDICARE
VA
01
36715
CARENET
VA
01
4063512
AETNA PPO
VA
01
59299
SOUTHERN HEALTH
VA
01
642072000-00
QUALCHOICE
VA
01
68482
SENTARA FAMILY CARE
VA
01
790522
AETNA HMO
VA
01
C01241
MEDICARE GROUP #
VA
01
CL9160
RAILROAD MEDICARE GROUP #
VA
Enumeration date
04/11/2006
Last updated
10/28/2020
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