Diaz, Rex Galam

Diaz, Rex Galam is an sole proprietor health care provider with primary practice located at 725 Volvo Pkwy Ste 210 , Chesapeake VA 23320-1621. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Diaz, Rex Galam can be contacted via phone (757) 252-4200.

Contact Information

Primary practice address
725 Volvo Pkwy Ste 210 Chesapeake VA 23320-1621
Phone: (757) 252-4200
Fax: (757) 410-9670
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 01033000814 Virginia

Profile Details

NPI number 1376578922
LBN Legal business name Diaz, Rex Galam
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Feb 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376578922 NPPES
Virginia MEDICAID 010135729
Virginia Other 5411080001

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