# PHAIK MAE OBERMEYER MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770169401
- **Authorized official:** PHAIK MAE OBERMEYER MD (PHYSICIAN / OWNER)
- **Authorized official phone:** (757) 375-6350

## Contact information

- **Practice address:** 840 FIRST COLONIAL RD STE 101, VIRGINIA BEACH, VA 23451-6106
- **Practice address phone:** (757) 321-6142
- **Practice address fax:** (757) 321-6145
- **Mailing address:** 840 FIRST COLONIAL RD STE 101, VIRGINIA BEACH, VA 23451-6106
- **Mailing address phone:** (757) 321-6142
- **Mailing address fax:** (757) 321-6145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/23/2021
- **Last updated:** 03/23/2021