National Provider Identifier Database

TIDEWATER NEUROLOGISTS INC PC
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

TIDEWATER NEUROLOGISTS INC, PC
3235 ACADEMY AVE
SUITE 305
PORTSMOUTH, VA23703-3200
Phone: 757-686-9300
Fax: 757-686-1514
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Clinical Neurophysiology 2084N0600X

* Indicates primary specialty

NPI Profile & details for TIDEWATER NEUROLOGISTS INC, PC

NPI Number 1689623258
Legal business name
LBN
TIDEWATER NEUROLOGISTS INC, PC
Authorized official HEMANG SHAH - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/09/2006
Last updated 10/30/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • VA Other: 200250 SENTARA

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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