Individual
MATTHEW C. SOMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2810 N PARHAM RD STE 315, RICHMOND, VA 23294-4424
(804) 288-8327
(804) 282-3744
Mailing address
2810 N PARHAM RD STE 315, RICHMOND, VA 23294-4424
(804) 288-8327
(804) 282-3744
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101256092
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205097441
MEDICARE R/R
VA
05
—
1205097441
—
VA
Enumeration date
06/20/2008
Last updated
04/10/2023
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