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NPI Code Detail

MEDICARE: DR. HEIDI AMANDA KULBERG M.D., M.P.H.

MEDICARE:  DR. HEIDI AMANDA KULBERG  M.D., M.P.H.
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
1207QA0401XAddiction Medicine (Family Medicine) Physician0101238091VA

General Provider Information

NPI Number : 1821017088
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEIDI AMANDA KULBERG M.D., M.P.H.
Provider Business Mailing Address
First Line : 4509 WHITECHAPEL DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23455-6447
Country : US
Telephone Number : 757-460-4655
Fax Number : 757-460-7744
Provider Business Practice Location Address
First Line : 4509 WHITECHAPEL DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23455-6447
Country : US
Telephone Number : 757-460-4655
Fax Number : 757-460-7744
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 07/23/2020

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Directions to “ DR. HEIDI AMANDA KULBERG M.D., M.P.H.” Practice Location

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