Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK EWING CHISAM, M.D.
ActiveDR. MARK EWING CHISAM, M.D. is a Radiation Oncology healthcare provider located in WILLIAMSBURG, Virginia. NPI 1053381251 is currently active in the NPPES registry. Verify at CMS.
Radiation Oncology · WILLIAMSBURG, VA
Registration Details
- NPI Number
- 1053381251
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2006 (20.581683994987 yrs)
- Last Updated
- Oct 3, 2013
- License
-
0101054200 (VA)
Practice Information
- Address
-
3901 TREYBURN DRSUITE BWILLIAMSBURG, VA, 231852891Browse VA providers · Browse ZIP 23185
- Phone
- 7572204900
- Fax
- 7575655328
- Primary Specialty
-
Radiation Oncology
2085R0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.