Individual
VASILIOS ROUSSIS
Active
Individual
VASILIOS ROUSSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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