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Individual

SOWJANYA NAGABHIRAVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
744 BATTLEFIELD BLVD N STE 200, CHESAPEAKE, VA 23320-4941
(757) 549-4403
(757) 549-4332
Mailing address
6350 CENTER DR STE 200, NORFOLK, VA 23502-4107
(757) 213-5700

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
0101240337
VA
207RX0202X
Medical Oncology Physician
200500531
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010326460
VA
01
139V4
BLUE CROSS BLUE SHIELD
NC
01
2237594
UNITED HEALTHCARE
01
247277
ANTHEM BCBS
VA
05
5900980
NC
01
7889367
AETNA
01
P00408875
MEDICARE RAILROAD
Enumeration date
02/02/2006
Last updated
08/20/2024
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