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Individual

BASIL S SKENDERIS II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1120 FIRST COLONIAL RD, SUITE 203, VIRGINIA BEACH, VA 23454-2418
(757) 481-4424
(757) 481-3820
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 481-4424
(757) 481-3820

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101058373
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007308736
VA
01
020042748
RAILROAD MEDICARE
01
16513
OPTIMA HEALTH PLAN
01
1700213
UNITED HEALTHCARE
01
213598
CIGNA
01
265609
MAMSI
01
394578
ANTHEM
01
5511759
AETNA
01
5784160
GHI
05
780531T
NC
Enumeration date
05/24/2006
Last updated
01/10/2017
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