Provider Demographics
NPI:1851319990
Name:SCHWAB, JOHN CONRAD (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:CONRAD
Last Name:SCHWAB
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 1:667 KINGSBOROUGH SQ
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-4999
Mailing Address - Country:US
Mailing Address - Phone:757-312-6102
Mailing Address - Fax:757-312-6300
Practice Address - Street 1:6161 KEMPSVILLE CIR
Practice Address - Street 2:SUITE 220
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3932
Practice Address - Country:US
Practice Address - Phone:757-455-9036
Practice Address - Fax:757-455-9037
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2021-12-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101058397207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA13480OtherSENTARA
VA7104524OtherMAMSI
VA5818656Medicaid
VA13480OtherSENTARA
VA440000027Medicare ID - Type Unspecified