National Provider Identifier Database

RUDOLPH E WILLIS, MD – NPI #1831194216
Hematology & Oncology

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.


Contact Information

RUDOLPH E WILLIS, MD
355 CRAWFORD ST
STE 300
PORTSMOUTH, VA23704-2819
Phone: 757-396-6333
Fax: 757-396-6367
Website:
Specialty Taxonomy Code
* Hematology & Oncology 207RH0003X

* Indicates primary specialty

NPI Profile & details for RUDOLPH E WILLIS

NPI Number 1831194216
Credentials MD
Entity Individual
Enumeration date 06/14/2005
Last updated 07/09/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0101233411
  • NC Other: 89067J2 NC MEDICAID
  • VA Other: 437204 ANTHEM BCBS
  • VA Other: 374935 MAMSI/MDIPA
  • VA Other: 59557 OPTIMA HEALTH PLAN
  • VA Other: P00013926 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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