Individual ProviderDriss BerradaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4000 Coliseum Dr, Ste 350, Hampton, VA 23666-5906(757) 827-2127PECOS EnrollmentBased on the most recent information from CMS, provider Driss Berrada is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1841409190Provider TypeIndividualFull NameBerrada, DrissCredentialMDGenderMaleSole ProprietorNoEnumeration Date5/22/2007Last Updated6/7/2011Contact InformationPractice LocationPractice Address4000 Coliseum Dr, Ste 350, Hampton, VA 23666-5906Phone(757) 827-2127Fax(757) 827-2255Mailing LocationMailing Address4000 Coliseum Dr, Ste 350, Hampton, VA 23666-5906Phone(757) 827-2127Fax(757) 827-2255Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0101241643Virginia