Provider Demographics
NPI:1821166273
Name:CHORBA, NANCY VICTORIA (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:VICTORIA
Last Name:CHORBA
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 1:6530 HULL STREET RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-2636
Mailing Address - Country:US
Mailing Address - Phone:804-674-3425
Mailing Address - Fax:804-554-5388
Practice Address - Street 1:6530 HULL STREET RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-2636
Practice Address - Country:US
Practice Address - Phone:804-674-3425
Practice Address - Fax:804-554-5388
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-02
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0060787207Q00000X
VA0101278279207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14080ROtherMEDICARE PTAN
F04149Medicare UPIN