Individual provider · Type 1 NPI
Raynido Champ, MD
General Practice Physician · Portsmouth, VA
NPI number
1730469990
Active
Practice location
4440 Hatton Point Rd
Portsmouth, VA 23703-4002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 0101041255 (VA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1730469990
Raynido Champ, MD's National Provider Identifier is 1730469990, issued on Aug 19, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Portsmouth, VA. The record was last updated on Aug 19, 2011.