| Norfolk Internal Medicine, Pc | |
|
160 Kingsley Ln Suite 500 Norfolk VA 23505-4600 | |
| (757) 889-6733 | |
| (757) 889-6738 |
| Full Name | Norfolk Internal Medicine, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 160 Kingsley Ln, Norfolk, Virginia |
| Authorized Official Name and Position | Nabil Tadros (OWNER) |
| Authorized Official Contact | 7578896740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norfolk Internal Medicine, Pc 160 Kingsley Ln Suite 500 Norfolk VA 23505-4600 Ph: (757) 889-6733 | Norfolk Internal Medicine, Pc 160 Kingsley Ln Suite 500 Norfolk VA 23505-4600 Ph: (757) 889-6733 |
| NPI Number | 1396844205 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 11/20/2007 |
| Medicare PECOS PAC ID | 1052362373 |
|---|---|
| Medicare Enrollment ID | O20050203000774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396844205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101041357 (Virginia) | Primary |
| Provider Name | Amir Hajimomenian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497735112 PECOS PAC ID: 3577558527 Enrollment ID: I20040419000622 |
| Provider Name | Nabil T. M. Tadros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982684692 PECOS PAC ID: 8921088352 Enrollment ID: I20040724000351 |
| Provider Name | Sharon Sadr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801916531 PECOS PAC ID: 1456310564 Enrollment ID: I20041005000830 |
| Provider Name | Michelle H Mobley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386744258 PECOS PAC ID: 3476609827 Enrollment ID: I20090925000517 |
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