Organization
INTERNAL MEDICINE KIDNEY & HYPERTENSION CENTER PC
Active
Organization
INTERNAL MEDICINE KIDNEY & HYPERTENSION CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUMBERTO F. PAVON M.D. (PRESIDENT)
(757) 502-4840
Entity
Organization
Contact information
Practice address
5700 LAKE WRIGHT DR STE 101, NORFOLK, VA 23502-1859
(757) 502-4840
(757) 502-4841
Mailing address
5700 LAKE WRIGHT DR STE 101, NORFOLK, VA 23502-1859
(757) 502-4840
(757) 502-4841
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101024987
VA
207RN0300X
Nephrology Physician
0101024987
VA
Other
Enumeration date
12/04/2006
Last updated
06/18/2015
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