MEDICARE: DR. NZINGA Z TEULE-HEKIMA 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
1	207Q00000X	Family Medicine Physician	0101236072	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	:	1851399901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NZINGA Z TEULE-HEKIMA M.D.

Provider Business Mailing Address
First Line	:	23 S MALLORY ST STE C
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23663-1707
Country	:	US
Telephone Number	:	757-210-5959
Fax Number	:	800-313-5613

Provider Business Practice Location Address
First Line	:	23 S MALLORY ST STE C
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23663-1707
Country	:	US
Telephone Number	:	757-210-5959
Fax Number	:	800-313-5613

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	02/11/2025

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