Provider Demographics
NPI:1124093448
Name:FELDMAN, WILLIAM E (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:FELDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2301 GENERAL BOOTH BLVD
Mailing Address - Street 2:UNIT B
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456
Mailing Address - Country:US
Mailing Address - Phone:757-963-5500
Mailing Address - Fax:757-963-5501
Practice Address - Street 1:2301 GENERAL BOOTH BLVD
Practice Address - Street 2:UNIT B
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456
Practice Address - Country:US
Practice Address - Phone:757-963-5500
Practice Address - Fax:757-963-5501
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2010-08-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101025174208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010059356Medicaid
VA010059356Medicaid
370000710Medicare ID - Type Unspecified