Thomas Mendoza Alabanza, M.D.

Individual provider Active NPI Internal Medicine Physician · Danville, VA

NPI 1982656872 · NPPES record last updated Mar 1, 2010

Key facts

NPI
1982656872
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
0101022214 (VA)
Practice address
990 Main St
Suite 204
Danville, VA 24541-1828
Phone
(434) 791-4648
Fax
(434) 793-2631
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101022214VAMDInternal Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101022214 VA Yes

Addresses

Primary practice location

990 Main St
Suite 204
Danville, VA 24541-1828

Mailing address

P.O. Box 1280
Danville, VA 24543-1280
Phone (434) 791-4648

Other identifiers

IdentifierTypeStateIssuer
006092683MedicaidVA

Other names

  • Tomas Mendoza Alabanza Former name

Other providers in Danville, VA

All providers in Danville, VA · Internal Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.