Organization
MID ATLANTIC LONG TERM SPECIALTY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NABIL TADROS MD (SOLE MEMBER)
(757) 354-2885
Entity
Organization
Contact information
Practice address
6160 KEMPSVILLE CIR STE 325A, NORFOLK, VA 23502-3933
(757) 354-2885
(757) 917-5141
Mailing address
6160 KEMPSVILLE CIR STE 325A, NORFOLK, VA 23502-3933
(757) 354-2885
(757) 917-5141
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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