Organization
DELTA ONCOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LLOYD A SHABAZZ M.D. (PRESIDENT)
(757) 396-6333
Entity
Organization
Contact information
Practice address
355 CRAWFORD ST, SUITE 300, PORTSMOUTH, VA 23704-2816
(757) 396-6333
(757) 215-0177
Mailing address
355 CRAWFORD ST, SUITE 300, PORTSMOUTH, VA 23704-2816
(757) 396-6333
(757) 215-0177
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
0101058359
VA
207RX0202X
Medical Oncology Physician
Primary
0101058359
VA
2085R0202X
Diagnostic Radiology Physician
0101031778
VA
208600000X
Surgery Physician
0101230703
VA
2086X0206X
Surgical Oncology Physician
0101230703
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0184F
BCBS NC
NC
01
—
091524
ANTHEM BCBS
—
01
—
48802
AETNA
—
Enumeration date
06/12/2006
Last updated
05/10/2010
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