OrganizationActive
Tidewater Diagnostic Imaging Ltd
NPI 1073626396 · Diagnostic Radiology Physician · Hampton, VA
Provider details
- NPI number
- 1073626396
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ravi Shamaiengar, President(757) 984-7911
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3000 Coliseum Dr
Hampton, VA 23666-5963
Phone: (757) 736-1621
Fax: (757) 512-5025
Street-level locationGet directions
Mailing address
Po Box 844723
Boston, MA 02284-4723
Registry dates
- Enumerated
- 2006-08-17
- Last updated
- 2021-08-18
- Certified
- 2021-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.