Provider Demographics
| NPI: | 1841268315 |
|---|---|
| Name: | FINTEL, WILLIAM A (MD) |
| Entity type: | Individual |
| Prefix: | DR |
| First Name: | WILLIAM |
| Middle Name: | A |
| Last Name: | FINTEL |
| Suffix: | |
| Gender: | M |
| 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: | 213 S JEFFERSON ST STE 625 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | ROANOKE |
| Mailing Address - State: | VA |
| Mailing Address - Zip Code: | 24011-1713 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 540-224-5516 |
| Mailing Address - Fax: | 540-224-5684 |
| Practice Address - Street 1: | 1906 BELLEVIEW AVE SE |
| Practice Address - Street 2: | |
| Practice Address - City: | ROANOKE |
| Practice Address - State: | VA |
| Practice Address - Zip Code: | 24014-1838 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 540-981-7000 |
| Practice Address - Fax: | 540-981-8429 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2006-03-10 |
| Last Update Date: | 2020-10-14 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| VA | 0101037441 | 207RH0003X, 207RX0202X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 207RX0202X | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology |
| No | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| VA | 5847699 | Medicaid | |
| VA | 900003162 | Other | RAILROAD MEDICARE |