Organization · Type 2 NPI

Sentara Medical Group

Cardiovascular Disease Physician · Virginia Beach, VA

NPI number 1811533375 Active

Practice location

1101 First Colonial Rd Ste 300
Virginia Beach, VA 23454-2409

Fax (757) 756-5148

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed
Interventional Cardiology Physician	207RI0011X	None listed
Surgery Physician	208600000X	None listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	208G00000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

4 other providers at this address

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NPI record

NPI: 1811533375
Entity type: Organization (Type 2)
Issued: Nov 20, 2019
Last updated: Sep 24, 2020
Status: Active

Other names

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Sentara Cardiology Specialists · doing business as
Sentara Cardiology Specialists · doing business as

Authorized official

Doris Prince
Director
(757) 252-2760

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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 1811533375

Sentara Medical Group's National Provider Identifier is 1811533375, issued on Nov 20, 2019. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Virginia Beach, VA. The record was last updated on Sep 24, 2020.