# GUSTAVO Y. VARGAS, M.D., INC

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

## Provider details

- **NPI number:** 1992038749
- **Authorized official:** DR. GUSTAVO Y VARGAS M.D. (PRESIDENT)
- **Authorized official phone:** (757) 545-5073

## Contact information

- **Practice address:** 3906 BAINBRIDGE BLVD, CHESAPEAKE, VA 23324-1610
- **Practice address phone:** (757) 545-5073
- **Practice address fax:** (757) 545-7077
- **Mailing address:** 3906 BAINBRIDGE BLVD, CHESAPEAKE, VA 23324-1610
- **Mailing address phone:** (757) 545-5073
- **Mailing address fax:** (757) 545-7077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/11/2009
- **Last updated:** 03/02/2010