# RIVERSIDE REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841424744
- **Authorized official:** NIKUNJKUMAR MADHUBHAI RABADIYA M.D. (OB-GYN RESIDENT)
- **Authorized official phone:** (757) 594-4737

## Contact information

- **Practice address:** 10510 JEFFERSON AVE. SUID D, BRENTWOOD OB GYN, NEWPORT NEWS, VA 23601-3102
- **Practice address phone:** (757) 594-4737
- **Mailing address:** 500 J CLYDE MORRIS BLVD., RIVERSIDE REGIONAL MEDICAL CENTER, NEWPORT NEWS, VA 23601-3102
- **Mailing address phone:** (757) 594-4737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NW0100X | Women's Hospital | 0116020091 | VA | Yes |

## Other

- **Enumeration date:** 05/06/2009
- **Last updated:** 05/06/2009
