Matsumoto, Alan H
Matsumoto, Alan H is an individual health care provider with primary practice located at 1215 Lee St , Charlottesville VA 22908-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Matsumoto, Alan H can be contacted via phone (434) 924-9400.Contact Information
Primary practice address
1215 Lee St
Charlottesville VA 22908-0001
Phone: (434) 924-9400
Fax: (434) 982-1618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101046826 | Virginia |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 0101046826 | Virginia |
Profile Details
| NPI number | 1255489803 |
|---|---|
| LBN Legal business name | Matsumoto, Alan H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jan 24th, 2024 - about 11 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255489803 | NPPES |
| Virginia | MEDICAID | 007265671 |
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