Provider Demographics
NPI:1356366645
Name:RANK, HARB L (MD)
Entity type:Individual
Prefix:DR
First Name:HARB
Middle Name:L
Last Name:RANK
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 1:7756 CHARLEMONT RD
Mailing Address - Street 2:
Mailing Address - City:GOODE
Mailing Address - State:VA
Mailing Address - Zip Code:24556-2504
Mailing Address - Country:US
Mailing Address - Phone:540-586-1815
Mailing Address - Fax:
Practice Address - Street 1:113 WIGGINGTON RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-4619
Practice Address - Country:US
Practice Address - Phone:434-385-7578
Practice Address - Fax:434-385-9756
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101052960208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5158496OtherAETNA
VA5642876Medicaid
VA214335OtherANTHEM BCBS
VA5642876Medicaid