Provider Demographics
NPI:1467401869
Name:DORBAD, DAVID G (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:G
Last Name:DORBAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4012 RAINTREE RD
Mailing Address - Street 2:SUITE 200A
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-3741
Mailing Address - Country:US
Mailing Address - Phone:757-488-2223
Mailing Address - Fax:757-488-8398
Practice Address - Street 1:4012 RAINTREE RD
Practice Address - Street 2:SUITE 200A
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-3741
Practice Address - Country:US
Practice Address - Phone:757-488-2223
Practice Address - Fax:757-488-8398
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2012-06-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101237635208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010177910Medicaid
VA010177910Medicaid