HAMPTON ROADS PODIATRY PC; NPI #1538279260

Contact Information

HAMPTON ROADS PODIATRY PC

5241 PRINCESS ANNE ROAD SUITE 102
VIRGINIA BEACH, VA 23462

Phone: 757-497-0859
Fax: 757-497-0976
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot	213ES0131X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for HAMPTON ROADS PODIATRY PC

NPI # 1538279260

LBN Legal business name HAMPTON ROADS PODIATRY PC

Authorized official RUDOLPH ANDERSON - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/30/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

VA	License #	0103001041
VA	Medicaid	9304240

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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