Search › Virginia › 363L00000X
Tamara Ivanova, NP
NPI 1215491634 · on the registry since 2019
Practice
- Address
- 612 Kingsborough Sq Ste 100
Chesapeake, VA 23320 - Phone
- (757) 547-9294
- Fax
- (757) 213-9342
- Organisation at this address
- Rex Galam Diaz
Sentara Medical Group
Cardiovascular Associates Ltd
Diaz Foot & Ankle Center PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Additional practice sites
- 4868 Bridge Rd Ste 370, Suffolk, VA
- 400 W Brambleton Ave Ste 104, Norfolk, VA
- 2000 Meade Pkwy, Suffolk, VA
- 1708 Old Donation Pkwy, Virginia Beach, VA
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
- Licence states on file
- NC, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia