Provider Demographics
NPI:1548367733
Name:RICHMOND ALLERGY AND ASTHMA SPECIALISTS,PC
Entity type:Organization
Organization Name:RICHMOND ALLERGY AND ASTHMA SPECIALISTS,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:E
Authorized Official - Last Name:GELBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-285-7420
Mailing Address - Street 1:9920 INDEPENDENCE PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-1487
Mailing Address - Country:US
Mailing Address - Phone:804-285-7420
Mailing Address - Fax:804-285-7454
Practice Address - Street 1:9920 INDEPENDENCE PARK DR STE 100
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23233-1487
Practice Address - Country:US
Practice Address - Phone:804-285-7420
Practice Address - Fax:804-285-7454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA031482OtherVA ANTHEM
VA54154OtherOPTIMA
VA60054OtherAETNA
VAC01807OtherMEDICARE RR
VA87726OtherUNITED HEALTHCARE
VA031382OtherHEALTHKEEPERS
VA62308OtherCIGNA