TIDEWATER DIAGNOSTIC IMAGING LTD NPI 1073626396

NPI Information

NPI: 1073626396
Provider Name: TIDEWATER DIAGNOSTIC IMAGING LTD
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3000 COLISEUM DR
HAMPTON, VA
ZIP 23666
Phone: (757) 736-1621
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TIDEWATER DIAGNOSTIC IMAGING LTD is a diagnostic radiology radiology in Hampton, VA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. TIDEWATER DIAGNOSTIC IMAGING LTD NPI is 1073626396. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3000 COLISEUM DR
HAMPTON, VA
ZIP 23666-963
Phone: (757) 736-1621
Fax: (757) 512-5025

The provider's authorized official is Ravi Shamaiengar .
The authorized official title is President and has the following contact phone number (757) 984-7911.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 8/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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