Individual
REBIN THOMAS TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2602 FRANKLIN RD SW, ROANOKE, VA 24014
(540) 344-1400
Mailing address
2602 FRANKLIN RD SW, ROANOKE, VA 24014-1010
(540) 344-1400
(540) 344-1491
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101249223
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053436923
UNITED HEALTHCARE / MAMSI
VA
05
—
1053436923
—
VA
05
—
5917782
—
NC
01
—
5998251
CIGNA
VA
Enumeration date
03/20/2007
Last updated
04/03/2019
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