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General NPI Number Information
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NPI Number | 1821522111
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Entity Type | Individual
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Provider Name | RENATO ANDRE CASTRO DE OLIVEIRA M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 12200 WARWICK BLVD STE 410
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-2548
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Country | US
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Telephone | 757-534-5200
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Fax | 757-534-5830
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Provider Business Mailing Address
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Address Line | 856 J CLYDE MORRIS BLVD STE A
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-1318
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Country | US
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Telephone | 757-316-5800
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Fax | 757-534-5190
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 0101282913
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 25MA11458300
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License Number State | NJ
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