Kenneth A Ellenbogen in Richmond - Cardiovascular Disease
Kenneth A Ellenbogen - NPI 1508966706
Kenneth A Ellenbogen is a Cardiovascular Disease in Richmond, Virginia. Kenneth A Ellenbogen practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Kenneth A Ellenbogen is 1508966706. The last update date is 2022-12-30.
Kenneth A Ellenbogen's current location address is 1250 E Marshall St, Richmond, Virginia. You can contact this provider via phone number 8048287565 and fax number 8048286082. The mailing address for Kenneth A Ellenbogen is 1250 E Marshall St, Richmond, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth A Ellenbogen |
|---|---|
| Address | 1250 E Marshall St, Richmond, Virginia |
| Phone Number | 8048287565 |
| Fax Number | 8048286082 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508966706 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2022-12-30 |
Provider Mailing Address Detail
| Address | 1250 E Marshall St |
|---|---|
| City | Richmond |
| State | Virginia (VA) |
| Post Code | 232985051 |
| Phone Number | 8048287565 |
| Fax Number | 8048286082 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 101040591 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6027547 | VA | -- |
Post Comment/ Review Below
What is the Kenneth A Ellenbogen's 1508966706?
The Kenneth A Ellenbogen's NPI (National Provider Identifier) Number is 1508966706. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kenneth A Ellenbogen's physical address?
The Kenneth A Ellenbogen is physically located at 1250 E Marshall St, in the city of Richmond, VA, with the postal code 232985051.
What is Kenneth A Ellenbogen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth A Ellenbogen's area of specialization is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this field of practice is 207Rc0000X.
On what date did the Kenneth A Ellenbogen receive the assignment of its 1508966706 from the Centers for Medicare & Medicaid Services?
The Kenneth A Ellenbogen was issued its 1508966706 by the Centers for Medicare & Medicaid Services on 2006-09-25.
As of what date were the Kenneth A Ellenbogen's details last updated?
The information pertaining to the Kenneth A Ellenbogen, including its address, specialty, and other details, was most recently updated on 2022-12-30.