Individual
DR. CHARLES CHANDLER ASHBY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 MEDICAL PKWY FL 2, CHESAPEAKE, VA 23320-0302
(757) 312-4047
(757) 410-0339
Mailing address
PO BOX 11314, BELFAST, ME 04915-4004
(757) 842-4481
(757) 312-3135
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101032057
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-001
CHAMPUS/TRICARE
VA
05
—
006023151
—
VA
05
—
006034128
—
VA
01
—
0501F
NC BC/BS
NC
01
—
15792
SENTARA OHP/SHP
VA
01
—
15954
OPTIMA/SENTARA
VA
01
—
250364
ANTHEM BC/BS VA HK
VA
01
—
263654
UNITED HEALTHCARE/MAMSI
VA
01
—
332291
ANTHEM BCBS
VA
05
—
890501F
—
NC
01
—
PAR
VIRGINIA PREMIER HEALTH
VA
Enumeration date
01/26/2006
Last updated
07/23/2024
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