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Contact Information

PABLO M GONZALEZ, MD
1401 JOHNSTON WILLIS DR
SUITE 100
RICHMOND, VA23235-4730
 Phone: 804-330-7990
 Fax: 804-330-2701
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PABLO M GONZALEZ · (Male)

NPI Number 1124080759
Status Active
Credentials MD
Entity Individual
Enumeration date 04/06/2006
Last updated 05/20/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101058602
  • VA Medicaid 005818851
  • VA Other 237404 ANTHEM BCBS VA
  • VA Other C01120 MEDICARE GROUP PTAN
  • VA Other 830005446 RR MEDICARE
Hospital affiliation(s)
  • CJW MEDICAL CENTER - (Acute Care)
    7101 JAHNKE ROAD
    RICHMOND, VA 23235
  • SOUTHSIDE REGIONAL MEDICAL CENTER - (Acute Care)
    200 MEDICAL PARK BOULEVARD
    PETERSBURG, VA 23805
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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