| Internal Medicine Specialist Inc | |
|
142 W York St 508 Norfolk VA 23510-2015 | |
| (757) 622-3252 | |
| (757) 627-1726 |
| Full Name | Internal Medicine Specialist Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 142 W York St, Norfolk, Virginia |
| Authorized Official Name and Position | Robert K Heide (PRESIDENT) |
| Authorized Official Contact | 7576223252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Specialist Inc 142 W York St 508 Norfolk VA 23510-2015 Ph: (757) 622-3252 | Internal Medicine Specialist Inc 142 W York St 508 Norfolk VA 23510-2015 Ph: (757) 622-3252 |
| NPI Number | 1851458244 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851458244 | NPI | - | NPPES |
| 6052649 | Medicaid | VA | |
| 5824826 | Medicaid | VA | |
| 6059953 | Medicaid | VA | |
| 6006191 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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