| 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 |