Provider Demographics
NPI:1366436495
Name:LITTAUA, REBECCA ALEJANDRINO (MD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ALEJANDRINO
Last Name:LITTAUA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 E CAWSON ST
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23860-2814
Mailing Address - Country:US
Mailing Address - Phone:804-452-2449
Mailing Address - Fax:804-454-2870
Practice Address - Street 1:505 N 6TH AVE
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-2618
Practice Address - Country:US
Practice Address - Phone:804-452-2449
Practice Address - Fax:804-454-2870
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-05
Last Update Date:2017-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101054762207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006093205Medicaid
VA541824196OtherTRICARE/VA PREMIER/CIGNA/
VA106687OtherANTHEM BCBS/HEALTHKEEPERS
VA541824196OtherTRICARE/VA PREMIER/CIGNA/
VAG36644Medicare UPIN