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Individual

MATTHEW THOMAS MAYR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1651 N PARHAM RD, RICHMOND, VA 23229-4605
(804) 288-8248
(804) 282-6223
Mailing address
1651 N PARHAM RD, RICHMOND, VA 23229-4605
(804) 288-8248
(804) 282-6223

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
101236365
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010095018
VA
01
143843
ANTHEM BC/BS
VA
01
2128643
MDIPA,MAMSI,OPTIMUM CHOIC
VA
01
2410421
UNITED HEALTHCARE
VA
01
245575
SOUTHERN HEALTH
VA
01
3600542
CIGNA
VA
01
3611772
US HEALTHCARE-AETNA HMO
VA
01
371483100
US DEPT OF LABOR
VA
01
52224
CARENET-MEDICAID
VA
01
54-1739189
FED TAX ID
VA
01
7891521
AETNA
VA
01
90412
SENTARA-OPTIMA HEALTH
VA
Enumeration date
05/02/2006
Last updated
01/06/2012
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