| Churchland Internal Medicine Associates Ltd | |
|
2994 Churchland Blvd Chesapeake VA 23321-5643 | |
| (757) 484-0500 | |
| (757) 686-8156 |
| Full Name | Churchland Internal Medicine Associates Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 2994 Churchland Blvd, Chesapeake, Virginia |
| Authorized Official Name and Position | Thomas A Harrington (PRESIDENT) |
| Authorized Official Contact | 7574840500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Churchland Internal Medicine Associates Ltd 2994 Churchland Blvd Chesapeake VA 23321-5643 Ph: (757) 484-0500 | Churchland Internal Medicine Associates Ltd 2994 Churchland Blvd Chesapeake VA 23321-5643 Ph: (757) 484-0500 |
| NPI Number | 1871673160 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 05/29/2008 |
| Medicare PECOS PAC ID | 0749278471 |
|---|---|
| Medicare Enrollment ID | O20040503001221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871673160 | NPI | - | NPPES |
| 138649 | Other | VA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
| Provider Name | Zahan M Zev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356354476 PECOS PAC ID: 3577512813 Enrollment ID: I20050113000731 |
| Provider Name | Shirin F Zev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285647388 PECOS PAC ID: 0840240784 Enrollment ID: I20050127000805 |
| Provider Name | Sarala C Krishnagiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598778664 PECOS PAC ID: 6406832187 Enrollment ID: I20081103000742 |
| Provider Name | Thomas A Harrington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629081716 PECOS PAC ID: 1052397734 Enrollment ID: I20081103000754 |
| Provider Name | Katerina Basiliadis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760941587 PECOS PAC ID: 5294068789 Enrollment ID: I20190617000838 |
| Provider Name | Rachael C Mannix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356059257 PECOS PAC ID: 7416321112 Enrollment ID: I20230321000415 |
| Provider Name | Haja Dumbuya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861951816 PECOS PAC ID: 7113353152 Enrollment ID: I20231003001323 |
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