MEDICARE: DAVID J WEST 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
1	207R00000X	Internal Medicine Physician	0101042169	VA

Other Identifiers

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

General Provider Information

NPI Number	:	1588669980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID J WEST MD

Provider Business Mailing Address
First Line	:	113 GAINSBOROUGH SQ
Second Line	:	STE 300
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-1714
Country	:	US
Telephone Number	:	757-547-9286
Fax Number	:	757-547-5692

Provider Business Practice Location Address
First Line	:	113 GAINSBOROUGH SQ
Second Line	:	STE 300
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-1714
Country	:	US
Telephone Number	:	757-547-9286
Fax Number	:	757-547-5692

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	07/08/2007

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Directions to “ DAVID J WEST MD” Practice Location

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