NPI | 1730133398 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMIR TAWFIK ABDELSHAHEED Owner/ Physician 757-488-3333 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101235873) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101028352) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2021-05-08 |