Individual
JEFFREY S. TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
127 MCCLANAHAN ST SW, SUITE300, ROANOKE, VA 24014-1728
(540) 982-8204
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101050404
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010248400
—
VA
01
—
060052159
RAILROAD MEDICARE PIN
VA
05
—
6009786
—
VA
05
—
6015310
—
VA
01
—
CI6105
RR MEDICARE GROUP
VA
Enumeration date
07/29/2005
Last updated
08/12/2022
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