Individual
DR. KEITH ZAITOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3235 ACADEMY AVE, SUITE 301, PORTSMOUTH, VA 23703-3200
(757) 484-9400
(757) 484-8809
Mailing address
3235 ACADEMY AVE, SUITE 301, PORTSMOUTH, VA 23703-3200
(757) 484-9400
(757) 484-8809
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101039811
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058150
ANTHEM BCBS
VA
01
—
390002387
MCARE RAILROAD
—
05
—
6078354
—
VA
Enumeration date
09/02/2005
Last updated
05/11/2020
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