Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 0101027498 | VA |
Y | 207RP1001X | Pulmonary Disease | 0101027498 | VA |
NPI | 1073539805 |
---|---|
Provider Name | Dr. Cullen B. Rivers |
First Address | Richmond, VA 23225-5545 |
Second Address | Richmond, VA 23225-5545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 14/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006064868 | (05) | VA |
006895400 | BLACK LUNG PROVIDER NUMBE (01) | VA |
021784 | CIGNA (01) | VA |
188418 | ANTHEM PROVIDER NUMBER (01) | VA |
31763 | CARENET PROVIDER NUMBER (01) | VA |
4800158 | UNITED HEALTH CARE PROV # (01) | VA |
557515 | AETNA PROVIDER NUMBER (01) | VA |
59274 | SOUTHERN HEALTH PROVIDER# (01) | VA |
B05785 | (02) | VA |