Individual
VASILIOS ROUSSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-2403
(757) 366-3100
(757) 366-9474
Mailing address
2876 GUARDIAN LN, VIRGINIA BEACH, VA 23452-7327
(757) 463-5240
(757) 463-6572
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101038968
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006021484
—
VA
01
—
043281
ANTHEM
VA
01
—
080138319
RR MEDICARE
VA
01
—
150103200
US DEPT OF LABOR
VA
01
—
2101413
ALLIANCE/OPTIMUM CHOICE
VA
01
—
51384
SENTARA
VA
01
—
541719389
TRICARE FOR LIFE
VA
Enumeration date
09/21/2006
Last updated
04/29/2008
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