NPI Profile for VIRGINIA CANCER INSTITUTE INCORPORATED in RICHMOND, VA.
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine | |
Clinical Medical Laboratory |
291U00000X | 69 | Clinical Laboratory | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice |
| NPI # | 1730130980 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/12/2006 | |
| Last updated | 02/16/2024 - About 2 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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VIRGINIA CANCER INSTITUTE INCORPORATED
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| BON SECOURS-VIRGINIA HEALTHSOURCE 5875 BREMO RD RICHMOND, VA |
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| JOHN PHILLIP R PEMBERTON, MD VCUHS DEPARTMENT OF MEDICINE-PEDIATRICS RESIDENCY RICHMOND, VA |