Provider Demographics
NPI:1124384623
Name:TRI-CITIES INFECTIOUS DISEASE ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:TRI-CITIES INFECTIOUS DISEASE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ALEJANDRINO
Authorized Official - Last Name:LITTAUA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-452-2449
Mailing Address - Street 1:505 N 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23860-2618
Mailing Address - Country:US
Mailing Address - Phone:804-452-2449
Mailing Address - Fax:804-454-2870
Practice Address - Street 1:505 N 6TH AVE
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-2618
Practice Address - Country:US
Practice Address - Phone:804-452-2449
Practice Address - Fax:804-454-2870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-09
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty