Provider Demographics
NPI:1245208305
Name:THOMPSON, DINAH KALAGAYAN (MD)
Entity type:Individual
Prefix:
First Name:DINAH
Middle Name:KALAGAYAN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:620 JOHN PAUL JONES CIR
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23708-2111
Mailing Address - Country:US
Mailing Address - Phone:757-953-6708
Mailing Address - Fax:757-953-6657
Practice Address - Street 1:2100 LYNNHAVEN PKWY STE 201
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-1492
Practice Address - Country:US
Practice Address - Phone:757-953-6708
Practice Address - Fax:757-953-6657
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101056609207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine