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Organization
PENINSULA VASCULAR CENTER, P.C.
Active
Organization
PENINSULA VASCULAR CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALIL B DAHDAH MD (MANAGING PARTNER)
(757) 766-6080
Entity
Organization
Contact information
Practice address
501 BUTLER FARM RD, SUITE B, HAMPTON, VA 23666-1777
(757) 766-6080
(757) 766-6085
Mailing address
501 BUTLER FARM RD, SUITE I, HAMPTON, VA 23666-1777
(757) 766-6080
(757) 766-6085
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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