Individual
ILYA J. SOBOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462
(757) 457-5100
(757) 452-3402
Mailing address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462-1815
(757) 457-5100
(757) 961-3696
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101264201
VA
208800000X
Urology Physician
56726
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447513353
—
VA
Enumeration date
06/18/2012
Last updated
06/12/2019
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