Organization · Type 2 NPI

Sentara Medical Group

Neurology Physician · Norfolk, VA

NPI number 1073763389 Active

Practice location

301 Riverview Ave Ste 202A
Norfolk, VA 23510-1065

Fax (757) 388-6106

Specialties and licenses

Taxonomy	Code	License
Neurological Surgery Physician	207T00000X	None listed
Neurology Physician Primary	2084N0400X	None listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

33 other providers at this address

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NPI record

NPI: 1073763389
Entity type: Organization (Type 2)
Issued: Sep 23, 2008
Last updated: Apr 13, 2021
Status: Active

Other names

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Sentara Neurology & Neurosurgery Specialists · doing business as
Sentara Neurology & Neurosurgery Specialists · doing business as

Authorized official

Doris Prince
Director
(757) 983-5475

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073763389

Sentara Medical Group's National Provider Identifier is 1073763389, issued on Sep 23, 2008. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Norfolk, VA. The record was last updated on Apr 13, 2021.