| Atlantic Internal Medicine | |
|
171 Kempsville Rd Bldg A Norfolk VA 23502-4700 | |
| (757) 975-4695 | |
| (757) 852-0699 |
| Full Name | Atlantic Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 171 Kempsville Rd Bldg A, Norfolk, Virginia |
| Authorized Official Name and Position | Ramon Matawaran (SOLE PROPERITOR) |
| Authorized Official Contact | 7579158691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Internal Medicine 171 Kempsville Rd Bldg A Norfolk VA 23502-4700 Ph: (757) 975-4695 | Atlantic Internal Medicine 171 Kempsville Rd Bldg A Norfolk VA 23502-4700 Ph: (757) 975-4695 |
| NPI Number | 1427657667 |
|---|---|
| Provider Enumeration Date | 10/20/2020 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Medicare PECOS PAC ID | 5991119836 |
|---|---|
| Medicare Enrollment ID | O20210204000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427657667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Ramon a Matawaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467427773 PECOS PAC ID: 7416058219 Enrollment ID: I20070724000299 |
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