Retina Group of Tidewater PC

NPI #1629256441 in Norfolk, Virginia

Provider Information

NPI Number: 1629256441
Entity Type: Organization
Organization Name: Retina Group of Tidewater PC
Primary Specialty: Ophthalmology
Enumeration Date: Feb 4, 2008
Last Updated: Dec 8, 2011

Practice Location

Address: 400 GRESHAM DR STE 308
City: Norfolk
State: Virginia
ZIP Code: 23507-1901
Phone: (757) 622-7000

Authorized Official

Name: DR. VENKAT MANORANJAN REDDY, MD
Title: PHYSICIAN/OWNER
Phone: (757) 622-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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