MEDICARE: LUIS D POSADAS 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	2084P0800X	Psychiatry Physician	0101056414	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326050402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUIS D POSADAS M.D

Provider Business Mailing Address
First Line	:	300 MEDICAL DR
Second Line	:	2ND FLOOR
City	:	HAMPTON
State	:	VA
Zip	:	23666-1765
Country	:	US
Telephone Number	:	757-788-0092
Fax Number	:	757-788-0969

Provider Business Practice Location Address
First Line	:	2244 EXECUTIVE DR
Second Line	:	SUTIE A
City	:	HAMPTON
State	:	VA
Zip	:	23666-2430
Country	:	US
Telephone Number	:	757-315-3650
Fax Number	:	757-315-3651

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

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	04/10/2012

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