MEDSTAT INC NPI 1164664702

NPI Information

NPI: 1164664702
Provider Name: MEDSTAT INC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
433B S SYCAMORE ST
PETERSBURG, VA
ZIP 23803
Phone: (804) 732-0248
Get Directions

MEDSTAT INC is a pulmonary disease internal medicine in Petersburg, VA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. MEDSTAT INC NPI is 1164664702. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

433B S SYCAMORE ST
PETERSBURG, VA
ZIP 23803-042
Phone: (804) 732-0248
Fax: (804) 732-8475

The provider's authorized official is Eniola Adebayo Okelana .
The authorized official title is Director and has the following contact phone number (804) 732-0248.

The enumeration date for this NPI number is 3/28/2009 and was last updated on 3/28/2009.

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	207RP1001X	Internal Medicine	Pulmonary Disease	0101052627	VIRGINIA	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

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