Healthcare Provider Details

I. General information

NPI: 1114030426
Provider Name (Legal Business Name): PENINSULA RADIOLOGICAL ASSOCIATES LIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 08/23/2024
Certification Date: 08/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 J CLYDE MORRIS BLVD
NEWPORT NEWS VA
23601-1929
US

IV. Provider business mailing address

PO BOX 844724
BOSTON MA
02284-4724
US

V. Phone/Fax

Practice location:
  • Phone: 757-612-9999
  • Fax: 757-512-5025
Mailing address:
  • Phone: 866-759-4524
  • Fax: 757-512-5025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: VALENTINE CURRAN
Title or Position: PRESIDENT
Credential: MD
Phone: 757-612-6999