Organization
HAMPTON ROADS KIDNEY & INTERNAL MEDICINE LLC
Active
Other names
Hampton Roads Kidney and Internal Medicine, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BAHER BASTA MD (OWNER)
(757) 729-0924
Entity
Organization
Contact information
Practice address
3800 POPLAR HILL RD STE A, CHESAPEAKE, VA 23321-5522
(757) 499-6978
(858) 925-1353
Mailing address
5234 DEFORD RD, VIRGINIA BEACH, VA 23455-7208
(757) 499-6978
(858) 925-1353
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
10/25/2021
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