Portilla, Didier

Portilla, Didier is an individual health care provider with primary practice located at 5 Hospital Dr , Charlottesville VA 22908-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Portilla, Didier can be contacted via phone (434) 924-5125.

Contact Information

Primary practice address
5 Hospital Dr Charlottesville VA 22908-0001
Phone: (434) 924-5125
Fax: (434) 924-5848
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X R-4238 Arkansas
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0101257080 Virginia

Profile Details

NPI number 1467542944
LBN Legal business name Portilla, Didier
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Dec 23rd, 2014 - about 12 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 1467542944 NPPES
Arkansas MEDICAID 121269001
Arkansas Other 390004629

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