Organization
TIDEWATER NEUROLOGISTS INC, PC
Active
Other names
Tidewater Neurologists and Sleep Disorder Specialist, inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEMANG H SHAH MD (OWNER)
(757) 686-9300
Entity
Organization
Contact information
Practice address
3235 ACADEMY AVE, SUITE 305, PORTSMOUTH, VA 23703-3200
(757) 686-9300
(757) 686-1514
Mailing address
3235 ACADEMY AVE STE 305, PORTSMOUTH, VA 23703-3200
(757) 463-5240
(757) 463-6572
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200250
SENTARA
VA
Enumeration date
05/09/2006
Last updated
10/30/2023
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