Provider Demographics
NPI:1508874173
Name:ROMANO, NOEMI GABRIELA (MD)
Entity Type:Individual
Prefix:DR
First Name:NOEMI
Middle Name:GABRIELA
Last Name:ROMANO
Suffix:
Gender:F
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:P.O. BOX 16180
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-6180
Mailing Address - Country:US
Mailing Address - Phone:757-222-0528
Mailing Address - Fax:757-222-1708
Practice Address - Street 1:736 N BATTLEFIELD BLVD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4941
Practice Address - Country:US
Practice Address - Phone:757-312-6585
Practice Address - Fax:757-312-6184
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101238036207P00000X
NMMD2021-1054207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA95077OtherSENTARA
VA010176140Medicaid
VA139607OtherANTHEM
VAI00615Medicare UPIN
VA139607OtherANTHEM