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Mr. Itse Begho
Military Health Care Provider in Norfolk, Virginia
NPI 1891141768

Itse Begho is a Military Health Care Provider based in Charlottesville, VA. Itse Begho practices in Norfolk, VA. The NPI Number for Itse Begho is 1891141768 and holds a License No. (Virginia).

The current practice location address for Itse Begho is 1721 Admiral Taussig Blvd, Norfolk, VA and can be reached out via phone at 757-953-8859. You can also correspond with Itse Begho through the mailing address at 1600 GRADY AVE APT 108, CHARLOTTESVILLE, VA - 22903-1905 (mailing address contact number: ).

Location: 1721 Admiral Taussig Blvd, Norfolk, VA, 22903-1905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891141768
Provider Name
Itse Begho
Credential
Provider Entity Type
Individual
Gender
Male
Address
1721 Admiral Taussig Blvd, Norfolk, VA, 22903-1905
Phone Number
757-953-8859
Fax Number
Provider Enumeration Date
05/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1721 Admiral Taussig Blvd
City
Norfolk
State
Virginia
Zip
23511-2802
Phone Number
757-953-8859
Fax Number
person
Provider Business Mailing Address Details
Address
1600 Grady Ave Apt 108
City
Charlottesville
State
Virginia
Zip
22903-1905
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
(Virginia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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