Individual
DR. DAVID DANIEL NEDEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 JOHNSTON WILLIS DR, SUITE A, RICHMOND, VA 23235-4765
(804) 379-8088
(804) 794-6067
Mailing address
1115 BOULDERS PKWY, SUITE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101230873
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
101230873
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006405274
—
VA
01
—
0900963
UNITED HEALTHCARE
VA
05
—
1023051604
—
VA
01
—
139065
ANTHEM WEST END OPERATORY
VA
01
—
200040985
RAILROAD MEDICARE
VA
01
—
2138290
UNITED HEALTHCARE MAMSI
VA
01
—
217855
ANTHEM HEALTHKEEPERS
VA
01
—
2568386
AETNA HMO
VA
01
—
289703
SOUTHERN HEALTH
VA
01
—
33399
SH CARENET
VA
01
—
41903
OPTIMA HEALTH
VA
01
—
540885859
CIGNA
VA
Enumeration date
06/13/2006
Last updated
09/15/2020
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