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

Tidewaterhealth360 PLLC

Organization Internal Medicine Physician · NPI 1134876337

Tidewaterhealth360 PLLC is an Internal Medicine Physician in Chesapeake, Virginia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1081 Kempsville Rd
Chesapeake, VA 23320-8126
Phone: (757) 376-8460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1134876337
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Cajes — President · (757) 376-8460
NPI enumeratedMarch 7, 2022
Last updated in NPPESMarch 7, 2022
Certification dateMarch 7, 2022
Mailing address324 Sage Rd, Virginia Beach, VA 23456-4419

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