person
Mr. Gautam D Desai, MD
Family Medicine Physician in Virginia Beach, Virginia
NPI 1417047663

Gautam D Desai is a Family Medicine Physician based in Virginia Beach, VA. Gautam D Desai practices in Virginia Beach, VA and has the professional credentials of MD. The NPI Number for Gautam D Desai is 1417047663 and holds a License No. 0101045379 (Virginia).

The current practice location address for Gautam D Desai is 2020 S Independence Blvd, Virginia Beach, VA and can be reached out via phone at 757-471-6977 and via fax at 757-471-5300.

Location: 2020 S Independence Blvd, Virginia Beach, VA, 23453
person
Provider Profile Details
NPI Number
1417047663
Provider Name
Gautam D Desai
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2020 S Independence Blvd, Virginia Beach, VA, 23453
Phone Number
757-471-6977
Fax Number
757-471-5300
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
080100260 01 RR MEDICARE
005628881 05 VA
332419 01 BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2020 S Independence Blvd
City
State
Zip
23453
Phone Number
757-471-6977
Fax Number
757-471-5300
person
Provider Business Mailing Address Details
Address
2020 S Independence Blvd
City
State
Zip
23453
Phone Number
757-471-6977
Fax Number
757-471-5300
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
0101045379 (Virginia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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