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NPI Code Detail

MEDICARE: WILLIAM H. POLK M.D.

MEDICARE: WILLIAM H. POLK M.D.
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
1207R00000XInternal Medicine Physician0101032429VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110182932OTHERRR/MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2104083OTHERVAANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477553717
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM H. POLK M.D.
Provider Business Mailing Address
First Line : 860 OMNI BLVD
Second Line : SUITE 303
City : NEWPORT NEWS
State : VA
Zip : 23606-4430
Country : US
Telephone Number : 757-232-8777
Fax Number : 757-232-8866
Provider Business Practice Location Address
First Line : 860 OMNI BLVD
Second Line : SUITE 101
City : NEWPORT NEWS
State : VA
Zip : 23606-4430
Country : US
Telephone Number : 757-877-4221
Fax Number : 757-886-1042
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 01/04/2013

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Directions to “ WILLIAM H. POLK M.D.” Practice Location

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