Provider Demographics
NPI:1639127020
Name:EICH, DAVID MEEKS (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:MEEKS
Last Name:EICH
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 1:2000 MEADE PKWY
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-4259
Mailing Address - Country:US
Mailing Address - Phone:757-925-0759
Mailing Address - Fax:757-934-9377
Practice Address - Street 1:2000 MEADE PKWY
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434
Practice Address - Country:US
Practice Address - Phone:757-925-0759
Practice Address - Fax:757-934-9377
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101-038618207RC0000X
VA0101038618207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006035043Medicaid
NC890531PMedicaid
VA060010269OtherRAILROAD MEDICARE
NY01569786Medicaid
VA060010269OtherRAILROAD MEDICARE
D89901Medicare UPIN