CRANE ANTAWAN NIBLACK M.D. NPI 1568628139

NPI Information

Crane Antawan Niblack, M.D. is a general practice in Richmond, VA with 17 years of experience. Crane Antawan Niblack, M.D. NPI is 1568628139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

6802 PARAGON PL STE OFC417
RICHMOND, VA
ZIP 23230-644
Phone: (804) 687-4793

The NPI 1568628139 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2008 and was last updated on 3/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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