| David S Haden Md Pc | |
|
5505 Indian River Rd Ste 101 Virginia Beach VA 23464-5252 | |
| (757) 420-9573 | |
| (757) 420-5649 |
| Full Name | David S Haden Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5505 Indian River Rd Ste 101, Virginia Beach, Virginia |
| Authorized Official Name and Position | David Haden (PRESIDENT) |
| Authorized Official Contact | 7574209573 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David S Haden Md Pc 5505 Indian River Rd Ste 101 Virginia Beach VA 23464-5252 Ph: (757) 420-9573 | David S Haden Md Pc 5505 Indian River Rd Ste 101 Virginia Beach VA 23464-5252 Ph: (757) 420-9573 |
| NPI Number | 1063722510 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 10/21/2010 |
| Medicare PECOS PAC ID | 1355520198 |
|---|---|
| Medicare Enrollment ID | O20110125000821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063722510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | David Haden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316989718 PECOS PAC ID: 9335328178 Enrollment ID: I20110125000847 |
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