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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 Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for TIDEWATER NEUROLOGISTS INC, PC

NPI Number 1689623258
LBN Legal business name TIDEWATER NEUROLOGISTS INC, PC
Authorized official HEMANG SHAH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2006
Last updated 10/30/2023 - About 3 years ago
Identifiers
VA Other 200250 SENTARA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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