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Ivan Ndamukong, PHD, PA-C
NPI 1679234371 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1040 University Blvd Ste 205
Portsmouth, VA 23703 - Phone
- (757) 391-7370
- Organisation at this address
- Maryview Hospital
Maryview HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-29
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