MEDICARE: CLIFFORD SANDER HECHT 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	0101281864	VA
2	207RP1001X	Pulmonary Disease Physician	0101281864	VA

General Provider Information

NPI Number	:	1922457217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLIFFORD SANDER HECHT M.D.

Provider Business Mailing Address
First Line	:	PO BOX 781076
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48278-1076
Country	:	US
Telephone Number	:	317-528-4800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1040 UNIVERSITY BLVD STE 205
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23703-2650
Country	:	US
Telephone Number	:	757-484-5900
Fax Number	:	757-483-6671

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

Provider Enumeration Date	:	06/07/2016
Last Update Date	:	07/30/2024

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