| NPI | 1184666943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD A SHABAZZ President 757-396-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: VA 0101058359) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101031778) |
| 2086X0206X Surgery Surgical Oncology (Licence: VA 0101230703) | |
| 208600000X Surgery (Licence: VA 0101230703) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: VA 0101058359) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2010-05-10 |