Individual
ROY A BEVERIDGE
Active
Individual
ROY A BEVERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
010142071
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006080901
—
VA
01
—
0870004
BCBS NCA/CAREFIRST
VA
01
—
220665
TRIGON/ANTHEM
VA
01
—
316256
MAMSI/OP CHOICE/ALLIANCE
VA
01
—
3600043
UNITED HEALTHCARE
VA
01
—
500617-4354321
AETNA PPO
VA
01
—
500617-500590
AETNA HMO
VA
01
—
504730
NCPPO
VA
01
—
541795091
TRICARE/HEALTHNET
VA
01
—
5982227005
CIGNA PPO/POS
VA
Enumeration date
03/08/2006
Last updated
09/02/2009
Update your record
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