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Individual

DR. WALTER N RABHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1501 MAPLE AVE, NW MOB SUITE 200, RICHMOND, VA 23226-2553
(804) 285-2300
(804) 285-8420
Mailing address
PO BOX 71690, RICHMOND, VA 23255-1690
(804) 285-2300
(804) 285-8420

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
0101022150
VA
207X00000X
Orthopaedic Surgery Physician
Primary
0101022150
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006438679
VA
01
200031830
GEORGIA RR MEDICARE
VA
01
333808
ANTHEM
VA
Enumeration date
05/17/2006
Last updated
02/25/2019
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