NPI 1801185434

Eastern Virginia Medical School

Organisation Urology Physician Norfolk, VA

Practice location

Address: 721 Fairfax Ave, Norfolk, VA 23507-2007
Phone: (757) 451-6200
Fax: (757) 451-6251
Mailing address: PO Box 936, Norfolk, VA 23501-0936

Authorised official

Name: Mark R. Babashanian
Title: Vp-Administration/Finance
Phone: (757) 446-6001

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Virginia →

Registry record

NPI: 1801185434
Entity type: Organization
NPI issued: 5 Apr 2011
Record last updated: 23 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.