Unknown Individual – Specialist, NPI 1528064755
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5900, Lake Wright Drive, Camden Heights, Norfolk, Virginia, 23502, United States
SUITE 300
NORFOLK, VA 235021871
Phone: (757) 213-5700
Fax: (757) 213-5701
Type: Mailing
150, Burnetts Way, Berkshire Meadows, Suffolk, Suffolk (city), Virginia, 23434, United States
SUITE 310
SUFFOLK, VA 234348177
Phone: (757) 539-0670
Fax: (757) 539-1062
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
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
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 ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23502)
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