Organization
INTERNAL MEDICINE SPECIALIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT K HEIDE MD (PRESIDENT)
(757) 622-3252
Entity
Organization
Contact information
Practice address
142 W YORK ST, 508, NORFOLK, VA 23510-2015
(757) 622-3252
(757) 627-1726
Mailing address
142 W YORK ST, 508, NORFOLK, VA 23510-2015
(757) 622-3252
(757) 627-1726
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5824826
—
VA
05
—
6006191
—
VA
05
—
6052649
—
VA
05
—
6059953
—
VA
Enumeration date
01/03/2007
Last updated
08/22/2020
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