Provider Demographics
NPI: | 1114911955 |
---|---|
Name: | HARROW, ARTHUR S (MD) |
Entity type: | Individual |
Prefix: | DR |
First Name: | ARTHUR |
Middle Name: | S |
Last Name: | HARROW |
Suffix: | |
Gender: | M |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 7660 E PARHAM RD |
Mailing Address - Street 2: | SUITE 103 |
Mailing Address - City: | RICHMOND |
Mailing Address - State: | VA |
Mailing Address - Zip Code: | 23294-4378 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 804-965-0690 |
Mailing Address - Fax: | 804-965-5463 |
Practice Address - Street 1: | 7660 E PARHAM RD |
Practice Address - Street 2: | SUITE 103 |
Practice Address - City: | RICHMOND |
Practice Address - State: | VA |
Practice Address - Zip Code: | 23294-4378 |
Practice Address - Country: | US |
Practice Address - Phone: | 804-965-0690 |
Practice Address - Fax: | 804-965-5463 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2005-09-08 |
Last Update Date: | 2007-07-09 |
Deactivation Date: | 2006-03-25 |
Deactivation Code: | |
Reactivation Date: | 2006-03-30 |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
VA | 0101042754 | 207R00000X |
MD | D0065838 | 207R00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
VA | 055176 | Other | ANTHEM |
VA | 493466 | Other | AETNA |
VA | 101038 | Other | CIGNA |
VA | 215087 | Other | OPTIMUM CHOICE/MAMSI |
VA | 493466 | Other | AETNA |