Individual
ERIK H KISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 BATTLEFIELD BLVD N, CHESAPEAKE GENERAL HOSPITAL, CHESAPEAKE, VA 23320-4941
(757) 312-6200
(757) 312-6181
Mailing address
109 G GAINSBOROUGH SQUARE, BOX 723, CHESAPEAKE, VA 23320
(757) 490-9388
(757) 490-9401
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101038744
VA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
0101038744
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0560G
BLUE CROSS BLUE SHIELD NC
—
01
—
082480
BLUE CROSS BLUE SHIELD VA
—
01
—
17761
OPTIMA
—
01
—
251490
MAMSI/MDIPA
—
01
—
3900570
OPTIMUM CHOICE
—
05
—
6006591
—
VA
05
—
890560G
—
NC
01
—
930041251
RR MEDICARE
VA
01
—
930041251
MEDICARE RAILROAD
—
Enumeration date
08/15/2006
Last updated
07/26/2024
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