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MID ATLANTIC LONG TERM CARE SPECIALISTS LLC NPI 1083222129


NPI Information

NPI: 1083222129
Provider Name: MID ATLANTIC LONG TERM CARE SPECIALISTS LLC

Doing Business As: TIDEWATER INFECTIOUS DISEASE PHYSICIANS

Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
6160 KEMPSVILLE CIR STE 325A
NORFOLK, VA
ZIP 23502
Phone: (757) 354-2885
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MID ATLANTIC LONG TERM CARE SPECIALISTS LLC is an infectious disease internal medicine in Norfolk, VA. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. MID ATLANTIC LONG TERM CARE SPECIALISTS LLC NPI is 1083222129. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tidewater Infectious Disease Physicians.

The provider's business location address is:

6160 KEMPSVILLE CIR STE 325A
NORFOLK, VA
ZIP 23502-933
Phone: (757) 354-2885
Fax: (757) 917-5141

The provider's authorized official is Amir Hajimomenian .
The authorized official title is Sole Member and has the following contact phone number (757) 354-2885.

The enumeration date for this NPI number is 7/15/2020 and was last updated on 9/21/2020.


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
1207Q00000XFamily MedicineNo
2207QG0300XFamily MedicineGeriatric MedicineNo
3207R00000XInternal MedicineNo
4207RG0300XInternal MedicineGeriatric MedicineNo
5363A00000XPhysician AssistantNo
6363L00000XNurse PractitionerNo
7363LF0000XNurse PractitionerFamilyNo
8207RI0200XInternal MedicineInfectious DiseaseYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.