Organization
PULMONARY CONSULTANTS OF TIDEWATER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN HOWARD KAUFMAN MD (PRESIDENT)
(757) 547-9451
Entity
Organization
Contact information
Practice address
113 GAINSBOROUGH SQ, SUITE 300, CHESAPEAKE, VA 23320-1713
(757) 547-9451
(757) 547-1405
Mailing address
113 GAINSBOROUGH SQ, SUITE 300, CHESAPEAKE, VA 23320-1713
(757) 547-9451
(757) 547-1405
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101031986
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02473
BLUE CROSS AND BLUE SHIEL
NC
01
—
042676
ANTHEM
VA
01
—
149069300
OWCP
VA
05
—
8902473
—
NC
01
—
CA6719
RAILROAD MEDICARE
VA
Enumeration date
01/18/2007
Last updated
02/14/2012
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