Individual
HOSKOTE SUBBARAYA NAGRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12652 JEFFERSON AVE, NEWPORT NEWS, VA 23602-4392
(757) 234-4285
(757) 234-4260
Mailing address
856 J CLYDE MORRIS BLVD, STE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101027462
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0101027462
VA
Other
Enumeration date
05/30/2006
Last updated
01/30/2014
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