Healthcare Provider Details

I. General information

NPI: 1265445167
Provider Name (Legal Business Name): JANET L. POPE RDCS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VA MED CTR 100 EMANC. DR
HAMPTON VA
23667-0001
US

IV. Provider business mailing address

VA MED CTR 100 EMANC. DR
HAMPTON VA
23667-0001
US

V. Phone/Fax

Practice location:
  • Phone: 757-722-9961
  • Fax: 722-996-1318
Mailing address:
  • Phone: 757-722-9961
  • Fax: 722-996-1318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number36401
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: