Individual
CHARLES B HADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5310 TWIN HICKORY RD, SUITE A, GLEN ALLEN, VA 23059-5783
(804) 273-0010
(804) 273-0049
Mailing address
PO BOX 87, HADENSVILLE, VA 23067-0087
(804) 273-0010
(804) 273-0049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101035751
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101035751
STATE LICENSE
VA
05
—
010375355
—
VA
01
—
080001681
MEDICARE OTHER PROVIDER
VA
01
—
1538518
AETNA HMO
VA
01
—
2163415
MAMSI
VA
01
—
298282
ANTHEM TM
VA
01
—
5290269
AETNA NON HMO
VA
01
—
633556
AETNA CAP
VA
01
—
CA9037
MCR RAILROAD GROUP
VA
01
—
CO2375
MEDICARE GROUP
VA
Enumeration date
11/09/2006
Last updated
10/03/2014
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