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NPI Code Detail

MEDICARE: DR. HOWARD R FELDMAN MD

MEDICARE: DR. HOWARD R FELDMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QG0300XGeriatric Medicine (Family Medicine) Physician0101035867VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1462310OTHERVABLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083719728
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOWARD R FELDMAN MD
Provider Business Mailing Address
First Line : 1212 LAKE JAMES DR
Second Line : F
City : VIRGINIA BEACH
State : VA
Zip : 23464-6779
Country : US
Telephone Number : 757-424-6200
Fax Number : 757-424-6214
Provider Business Practice Location Address
First Line : 1212 LAKE JAMES DR
Second Line : F
City : VIRGINIA BEACH
State : VA
Zip : 23464-6779
Country : US
Telephone Number : 757-424-6200
Fax Number : 757-424-6214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 07/08/2007

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