Individual
DR. FAUSTINO ANDRADA RENIVA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
249 NEWTOWN RD S, NORFOLK, VA 23502
(757) 892-5520
(757) 892-5521
Mailing address
633 BATTLEFIELD BLVD S, STE 300, CHESAPEAKE, VA 23322-4800
(757) 233-4700
(757) 233-4701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101051148
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5824052
—
VA
Enumeration date
02/21/2006
Last updated
11/13/2024
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