Provider Demographics
NPI:1912014051
Name:WHITE, ROLFE DOWNING (MD)
Entity Type:Individual
Prefix:
First Name:ROLFE
Middle Name:DOWNING
Last Name:WHITE
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 1:1137 FIRST COLONIOAL RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-2402
Mailing Address - Country:US
Mailing Address - Phone:757-496-7005
Mailing Address - Fax:757-496-3464
Practice Address - Street 1:1137 FIRST COLONIAL RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-2402
Practice Address - Country:US
Practice Address - Phone:757-496-7005
Practice Address - Fax:757-496-3464
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101031437207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0062-57283Medicaid
VA160000452Medicare PIN
VA0062-57283Medicaid