Individual
NICHOLAS M DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20480 MARKET ST, ONANCOCK, VA 23417-4309
(757) 302-2600
(757) 414-8016
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101258204
VA
207RH0003X
Hematology & Oncology Physician
Primary
0101258204
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025013000
—
FL
05
—
1023379575
—
VA
Enumeration date
05/31/2012
Last updated
02/27/2025
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