Individual
LIDA NADIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1322 CLUB HOUSE DR, CHESAPEAKE, VA 23322-8073
(175) 787-6000
(175) 787-6000
Mailing address
1322 CLUB HOUSE DR, CHESAPEAKE, VA 23322-8073
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101238513
VA
207L00000X
Anesthesiology Physician
A92035
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010186854
—
VA
01
—
1902851199
MEDICARE
CA
05
—
5901493
—
NC
Enumeration date
05/24/2006
Last updated
10/01/2014
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