MEDICARE: TAWANY CHRISOSTOMO DA ROLD ALMEIDA MD

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207V00000X	Obstetrics & Gynecology Physician	0116033830	VA

General Provider Information

NPI Number	:	1821625484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAWANY CHRISOSTOMO DA ROLD ALMEIDA MD

Provider Business Mailing Address
First Line	:	8239 MEADOWBRIDGE RD STE A
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-2318
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8239 MEADOWBRIDGE RD STE A
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-2318
Country	:	US
Telephone Number	:	804-730-0800
Fax Number	:

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

Provider Enumeration Date	:	03/24/2020
Last Update Date	:	06/05/2024

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