Individual
DR. THOMAS VINCENT WHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3009 CORPORATE LN, SUITE 210, SUFFOLK, VA 23434-9234
(757) 623-0005
(757) 935-1561
Mailing address
4560 SOUTH BLVD STE 202, VIRGINIA BEACH, VA 23452-1160
(757) 623-0005
(757) 548-1129
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101032614
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10133134
OPTIMA HEALTH
VA
01
—
1073504254
UNITED HEALTHCARE
VA
05
—
1073504254
—
NC
05
—
1073504254
—
VA
01
—
PAR
CIGNA
VA
Enumeration date
11/04/2005
Last updated
03/13/2019
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