1750584322 NPI number — MATTHEW AARON SACHS MD, MPH, MBA

Table of content: MATTHEW AARON SACHS MD, MPH, MBA (NPI 1750584322)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750584322 NPI number — MATTHEW AARON SACHS MD, MPH, MBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SACHS
Provider First Name:
MATTHEW
Provider Middle Name:
AARON
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD, MPH, MBA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750584322
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/29/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1020 FIRST COLONIAL RD STE A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VIRGINIA BEACH
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23454-3078
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-395-1850
Provider Business Mailing Address Fax Number:
757-222-9360

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1701 BALTIC AVE STE 42
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VIRGINIA BEACH
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23451-3427
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-219-2753
Provider Business Practice Location Address Fax Number:
804-207-8706
Provider Enumeration Date:
06/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0804X , with the licence number:  0101245592 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com