Provider Demographics
NPI:1043549561
Name:HAMPTON ROADS HOSPITALIST GROUP
Entity Type:Organization
Organization Name:HAMPTON ROADS HOSPITALIST GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIKAS
Authorized Official - Middle Name:
Authorized Official - Last Name:THAKRAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:571-230-7152
Mailing Address - Street 1:911 BOTETOURT GDNS
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23507-1816
Mailing Address - Country:US
Mailing Address - Phone:757-535-3696
Mailing Address - Fax:757-842-6364
Practice Address - Street 1:3636 HIGH ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3236
Practice Address - Country:US
Practice Address - Phone:757-535-3696
Practice Address - Fax:757-622-4585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-11
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent MedicineGroup - Single Specialty