Provider Demographics
NPI:1952405680
Name:RIEDLER, SYLVIA HOQ (MD)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:HOQ
Last Name:RIEDLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:HOQ
Other - Last Name:SUFYANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1024 FIRST COLONIAL RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-3074
Mailing Address - Country:US
Mailing Address - Phone:757-395-2500
Mailing Address - Fax:757-275-9700
Practice Address - Street 1:1024 FIRST COLONIAL RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3074
Practice Address - Country:US
Practice Address - Phone:757-395-2500
Practice Address - Fax:757-275-9700
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101058095207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010360838Medicaid
VA010360838Medicaid
VAH00841Medicare UPIN