Provider Demographics
NPI:1073596698
Name:TOROP, ANDRES H (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDRES
Middle Name:H
Last Name:TOROP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4668 PEMBROKE BLVD
Mailing Address - Street 2:SUITE 117
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-6423
Mailing Address - Country:US
Mailing Address - Phone:757-965-4171
Mailing Address - Fax:757-965-4168
Practice Address - Street 1:4668 PEMBROKE BLVD
Practice Address - Street 2:SUITE 117
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-6423
Practice Address - Country:US
Practice Address - Phone:757-965-4171
Practice Address - Fax:757-965-4168
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010576352085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA179728OtherATHEM BC/BS PROVIDE#
VA6738931OtherCIGNA PROVIDER#
VA10155932Medicaid
VA007259F78Medicare PIN
VAG83003Medicare UPIN
VAP00280801Medicare PIN
VA179728OtherATHEM BC/BS PROVIDE#