Organization · Type 2 NPI

Sentara Medical Group

Diagnostic Radiology Physician · Virginia Beach, VA

NPI number 1053350322 Active

Practice location

1080 First Colonial Rd, Suite 100
Virginia Beach, VA 23454-2406

Call (757) 395-6464 Map

Fax (757) 395-6490

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed
Clinical Medical Laboratory 291U00000X49D0981411 (VA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1053350322

Sentara Medical Group's National Provider Identifier is 1053350322, issued on Jun 5, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Virginia Beach, VA. The record was last updated on Sep 23, 2011.