Individual
BISWA BHATTACHARYYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2088 S INDEPENDENCE BLVD STE 103, VIRGINIA BEACH, VA 23453-4790
(757) 275-9331
(757) 416-7656
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101042686
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080004014
PROVIDER TPAN
VA
01
—
C02088
OCEANA TPAN
VA
Enumeration date
11/09/2005
Last updated
12/18/2019
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