Male or Other

Dr. Charles Ives M.D.

Specialist in Norfolk, VA(View on Map)

Full Name

Dr. Charles Ives M.D.

NPI Number

1417955006

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/08/2005

Specialties

(Taxonomies)

Code

174400000X

Primary Taxonomy

Yes

Licenses

State

Virginia

License Number

0101030875

Contact
Information

Purpose

Mailing
Location

Address

160 KINGSLEY LN
160 KINGSLEY LN

City

Norfolk
Norfolk

State

VA
VA

Postal Code

23505-4600
23505-4600

Country

US
US

Telephone Number

(757) 889-6500
(757) 889-6500

Identifiers

Identifier

7311087
212951
393391
17864
1700234
514250

Identifier State

VA
VA
VA
VA
VA
VA

Identifier Issuer

Unknown
CIGNA
ANTHEM
OPTIMA
UNITED HEALTHCARE
MAMSI

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/11/2008

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