Provider Demographics
NPI:1851399901
Name:TEULE-HEKIMA, NZINGA Z (MD)
Entity Type:Individual
Prefix:DR
First Name:NZINGA
Middle Name:Z
Last Name:TEULE-HEKIMA
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 1:214 SAINT MICHAELS WAY
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-1967
Mailing Address - Country:US
Mailing Address - Phone:757-595-1376
Mailing Address - Fax:
Practice Address - Street 1:416 J CLYDE MORRIS BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-1927
Practice Address - Country:US
Practice Address - Phone:757-594-7400
Practice Address - Fax:757-594-7423
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101236072207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAI30571Medicare UPIN
VA007273C59Medicare ID - Type Unspecified