Unknown Individual – Internal Medicine Physician, NPI 1730188079
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
7007, Harbour View Boulevard, Harbour View, Huntersville, Suffolk, Virginia, 23435, United States
SUITE 108
SUFFOLK, VA 234353657
Phone: (757) 215-2784
Fax: (757) 215-2728
Type: Mailing
4039, East Little Creek Road, Camellia Shores, Norfolk, Virginia, 23518, United States
NORFOLK, VA 235183549
Phone: (757) 738-1200
Fax: (757) 480-3208
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 23435)
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