Individual
DR. CHARLES IVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 KINGSLEY LN, SUITE 400, NORFOLK, VA 23505-4600
(757) 889-6500
Mailing address
160 KINGSLEY LN, SUITE 400, NORFOLK, VA 23505-4600
(757) 889-6500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101030875
VA
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700234
UNITED HEALTHCARE
VA
01
—
17864
OPTIMA
VA
01
—
212951
CIGNA
VA
01
—
393391
ANTHEM
VA
01
—
514250
MAMSI
VA
05
—
7311087
—
VA
Enumeration date
07/08/2005
Last updated
08/11/2008
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