Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 0101256844 | VA |
NPI | 1043384282 |
---|---|
Provider Name | Charles N. Landen |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22908-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 30/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00572712 | (05) | MS |
051598996 | BCBS (01) | AL |
051598998 | BCBS (01) | AL |
051599000 | BCBS (01) | AL |
051599001 | BCBS (01) | AL |
051599004 | BCBS (01) | AL |
111035 | (05) | AL |
111036 | (05) | AL |
111039 | (05) | AL |
111046 | (05) | AL |
111051 | (05) | AL |
130391 | (05) | AL |
174654701 | (05) | TX |
H79871 | (02) |