| Sharon Chizotam Udemba, MD | |
|
3537 Airline Blvd Ste 1, Portsmouth, VA 23701-2650 | |
| (757) 738-1225 | |
| (757) 488-1037 |
| Full Name | Sharon Chizotam Udemba |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 3537 Airline Blvd Ste 1, Portsmouth, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497332449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101281666 (Virginia) | Primary |
| Entity Name | Bon Secours Medical Group Hampton Roads Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528627379 PECOS PAC ID: 0941632756 Enrollment ID: O20191118000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon Chizotam Udemba, MD 3537 Airline Blvd Ste 1, Portsmouth, VA 23701-2650 Ph: (757) 738-1225 | Sharon Chizotam Udemba, MD 3537 Airline Blvd Ste 1, Portsmouth, VA 23701-2650 Ph: (757) 738-1225 |
Dr. Imtiaz Zaman, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 805 Rodman Ave, Portsmouth, VA 23707 Phone: 757-399-1970 Fax: 757-436-3460 | |
Dr. Sally Gene Tamayo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-9804 Fax: 757-953-0811 | |
Dr. Stephen Alexander Koplin, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5000 | |
Tyler Church, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: Nmrtc, Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 Phone: 757-953-2266 | |
Dr. Robert J. Accettola, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3737 High St, Portsmouth, VA 23707 Phone: 757-686-9400 Fax: 757-686-9449 | |
Dr. Varea Costello, DO, MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-3647 | |
Guenola Hunt, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1051 Fax: 757-953-1036 |