Organization
HEMATOLOGY ONCOLOGY ASSOCIATES OF TIDE WATER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOUNDAR RAJAN MD (PRESIDENT OF CORPORATION)
(757) 436-3266
Entity
Organization
Contact information
Practice address
1015 B EDENWAY NORTH, CHESAPEAKE, VA 23320
(757) 436-3266
(757) 548-0712
Mailing address
1015 B EDENWAY NORTH, CHESAPEAKE, VA 23320
(757) 436-3266
(757) 548-0712
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101043759
VA
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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