Dr Nizar Bou Diab, MD | |
500 J Clyde Morris Blvd, Suite 500, Newport News, VA 23601 | |
(757) 873-1374 | |
Not Available |
Full Name | Dr Nizar Bou Diab |
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Gender | Male |
Speciality | Urology |
Location | 500 J Clyde Morris Blvd, Newport News, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1609261734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208800000X | Urology | 0101283449 (Virginia) | Primary |
208800000X | Urology | 35.146429 (Ohio) | Secondary |
Entity Name | Ohio Specialty Physicians Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285745364 PECOS PAC ID: 3476643479 Enrollment ID: O20071213000834 |
Entity Name | Christ Hospital Medical Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124341649 PECOS PAC ID: 6507998432 Enrollment ID: O20100713000295 |
Mailing Address | Practice Location Address |
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Dr Nizar Bou Diab, MD 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601 Ph: (757) 316-5800 | Dr Nizar Bou Diab, MD 500 J Clyde Morris Blvd, Suite 500, Newport News, VA 23601 Ph: (757) 873-1374 |
Eric Darby, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 860 Omni Blvd Ste 107, Newport News, VA 23606 Phone: 757-873-2562 Fax: 757-873-2570 | |
Geoffrey B Kostiner, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 860 Omni Blvd, Suite # 205, Newport News, VA 23606 Phone: 757-873-2562 Fax: 757-873-2570 | |
Timothy Powell, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 500 J Clyde Morris Blvd Ste 500, Newport News, VA 23601 Phone: 757-873-1374 Fax: 757-873-1612 | |
Brianna Joy Mchugh, PA-C Urology Medicare: Medicare Enrolled Practice Location: 11803 Jefferson Ave Ste 100, Newport News, VA 23606 Phone: 757-594-1850 Fax: 757-594-1841 | |
Henry Menton Prillaman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 11848 Rock Landing Dr, Suite 402, Newport News, VA 23606 Phone: 757-873-1374 Fax: 757-466-1312 | |
David Hartke, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 860 Omni Blvd, Suite 205, Newport News, VA 23606 Phone: 757-873-2562 Fax: 757-873-2570 |