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KHADIJAH Y. JORDAN MD.PC NPI 1912014093


NPI Information

NPI: 1912014093
Provider Name: KHADIJAH Y. JORDAN, MD.,PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
111 MEDICAL PKWY
SUITE 202
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 436-2424
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KHADIJAH Y. JORDAN, MD.,PC is an obstetrics gynecology in Chesapeake, VA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. KHADIJAH Y. JORDAN, MD.,PC NPI is 1912014093. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 MEDICAL PKWY
SUITE 202
CHESAPEAKE, VA
ZIP 23320-302
Phone: (757) 436-2424
Fax: (757) 436-6628

The provider's authorized official is Khadijah Y Jordan .
The authorized official title is President and has the following contact phone number (757) 436-2424.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 9/8/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology0101052592VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G13925MEDICARE UPINVIRGINIA
224104OTHERVIRGINIAOPTIMA
32133107OTHERMAMSI
45025116OTHERVIRGINIACIGNA
5178986OTHERVIRGINIAANTHEM
600W590K01MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
7010202531MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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