Kometa, Michael Tobeh

Kometa, Michael Tobeh is an individual health care provider with primary practice located at 200 Medical Park Blvd , Petersburg VA 23805-9274. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Kometa, Michael Tobeh can be contacted via phone (804) 765-5991.

Contact Information

Primary practice address
200 Medical Park Blvd Petersburg VA 23805-9274
Phone: (804) 765-5991
Fax: (804) 765-5244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X KOME3968700 Ohio
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 0101249428 Virginia

Profile Details

NPI number 1700042231
LBN Legal business name Kometa, Michael Tobeh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2008
Last updated Apr 26th, 2019 - about 6 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 1700042231 NPPES
Virginia MEDICAID 1700042231

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