Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101056290 | VA |
N | 111NI0900X | Internist | 0101056290 | VA |
Y | 207RX0202X | Medical Oncology | 0101056290 | VA |
NPI | 1154411700 |
---|---|
Provider Name | Dr. Edward B. Perkins |
First Address | Richmond, VA 23291-1745 |
Second Address | Richmond, VA 23298-5051 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 27/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5875862 | (05) | VA |
H64810 | (02) |