Provider Demographics
NPI:1700831898
Name:DELAHOUSSAYE, ALADEE RENEE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALADEE
Middle Name:RENEE
Last Name:DELAHOUSSAYE
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 1:15425 WARWICK BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-1579
Mailing Address - Country:US
Mailing Address - Phone:757-874-8400
Mailing Address - Fax:
Practice Address - Street 1:15425 WARWICK BLVD STE H
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-1579
Practice Address - Country:US
Practice Address - Phone:757-874-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101050047207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA432644OtherMAMSI ID #
VAE96719OtherPRINCIPAL LIFE
VA010948OtherCIGNA ID #
VA208112OtherBC/BS ID #
VA5831075Medicaid
VA110200154OtherPALMETTO/RAILROAD
VA38601OtherNYLCARE
VA5897023OtherAETNA ID #
VA62002OtherOPTIMA
VA110007613Medicare ID - Type UnspecifiedMEDICARE #
VA38601OtherNYLCARE