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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063648699

Dr. Sandra Moallem, MD is an Internal Medicine in Chesapeake, Virginia. Qualified in 2004, 22 years ago. Practices with Medical Associates of Englewood PC, a 540-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
22
Licensed in
VA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3241 Western Branch Blvd
Chesapeake, VA 23321-5260
Phone: (757) 967-8622
Fax: (757) 686-0541
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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 · Licence 0101255459 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063648699
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2009
Last updated in NPPESMarch 2, 2015
Mailing addressPo Box 7068, Portsmouth, VA 23707-0068

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Medical Associates Of Englewood Pc — 540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Chesapeake