Provider Demographics
NPI:1306803374
Name:COWANS, RODNEY HARRY (MD)
Entity type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:HARRY
Last Name:COWANS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2025 E MAIN ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-7069
Mailing Address - Country:US
Mailing Address - Phone:804-780-0840
Mailing Address - Fax:804-253-1970
Practice Address - Street 1:719 N 25TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-6539
Practice Address - Country:US
Practice Address - Phone:804-253-1977
Practice Address - Fax:804-780-0862
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101049531208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAH29574Medicare UPIN
VA007797V17Medicare PIN