Individual
RICHARD V HOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 FAIRFAX AVE, SUITE 118, NORFOLK, VA 23507-1914
(757) 446-5955
(757) 446-5196
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-5955
(757) 446-5196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101250927
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-002
TRICARE/CHAMPUS
VA
01
—
10088115
OPTIMA HEALTH
VA
01
—
1558353656
VIRGINIA PREMIER HEALTH PLAN
VA
05
—
1558353656
—
VA
01
—
456746
ANTHEM BC/BS
VA
05
—
5919579
—
NC
01
—
PAR
USA MANAGED CARE
VA
Enumeration date
08/16/2005
Last updated
09/12/2012
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