Unknown Individual – Nephrology Physician, NPI 1629075569
Nephrology Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4560, South Boulevard, Powell's Crossroads, Virginia Beach, Virginia, 23452, United States
SUITE 202
VIRGINIA BEACH, VA 234521160
Phone: (757) 623-0005
Fax: (757) 548-1129
Type: Mailing
814, Kempsville Road, Glen Rock, Fairlawn Estates, Norfolk, Virginia, 23502, United States
SUITE 102 BLDG 17
NORFOLK, VA 235024001
Phone: (757) 623-0005
Fax: (757) 389-5412
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23452)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | VA | |
| - | VA | |
| Nephrology, Internal Medicine | VA | |
| N E P H R O L O G Y | VA | |
| Nurse Practitioner | VA | |
| Nephrology, Internal Medicine | VA | |
| N E P H R O L O G Y | VA | |
| Nephrology, Internal Medicine | VA | |
| N E P H R O L O G Y | VA | |
| Nephrology, Internal Medicine | VA |
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