Individual provider · Type 1 NPI

Ivan Che Ndamukong, PhD, PA-C

Physician Assistant · Portsmouth, VA

NPI number 1679234371 Active

Practice location

1040 University Blvd Ste 205
Portsmouth, VA 23703-2650

Call (757) 391-7370 Map

Mailing address

2113 Chesterfield Loop
Chesapeake, VA 23323-6670

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110008765 (VA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1679234371

Ivan Che Ndamukong, PhD, PA-C's National Provider Identifier is 1679234371, issued on Jan 4, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portsmouth, VA. The record was last updated on Aug 29, 2022.