Individual
ADAM K GELRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5620 BROOK RD, RICHMOND, VA 23227-2273
(804) 767-8400
(804) 262-5113
Mailing address
12900 PARK PLAZA DR STE 150, CERRITOS, CA 90703-9329
(562) 977-4639
(562) 741-7749
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101234989
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010078369
—
VA
05
—
010236703
—
VA
01
—
139730
BCBS
VA
01
—
188196
BCBS
VA
01
—
P00145319
RAILROAD MEDICARE
VA
Enumeration date
02/02/2006
Last updated
08/30/2019
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