Provider Demographics
NPI:1730222142
Name:CROWE, SHEILA E (MD)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:E
Last Name:CROWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 232410
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92193-2410
Mailing Address - Country:US
Mailing Address - Phone:619-543-2347
Mailing Address - Fax:
Practice Address - Street 1:UVA HOSPITAL
Practice Address - Street 2:LEE STREET, 1ST FLOOR
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-0001
Practice Address - Country:US
Practice Address - Phone:434-924-4959
Practice Address - Fax:434-243-6504
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101231619207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5807948Medicaid
VA5807948Medicaid
VA100000289Medicare ID - Type Unspecified