Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidewater Diagnostic Imaging Ltd

Organization Diagnostic Radiology Physician · NPI 1073626396

Tidewater Diagnostic Imaging Ltd is a Diagnostic Radiology Physician in Hampton, Virginia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3000 Coliseum Dr
Hampton, VA 23666-5963
Phone: (757) 736-1621
Fax: (757) 512-5025
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1073626396
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ravi Shamaiengar — President · (757) 984-7911
NPI enumeratedAugust 17, 2006
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021
Mailing addressPo Box 844723, Boston, MA 02284-4723

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