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Individual

MRS. SAILEELA VENKATESAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1020 INDEPENDENCE BLVD, STE 105, VIRGINIA BEACH, VA 23455
(757) 460-5521
(757) 460-3817
Mailing address
1020 INDEPENDENCE BLVD, STE 105, VIRGINIA BEACH, VA 23455
(757) 460-5521
(757) 460-3817

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101026024
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006700624
VA
Enumeration date
08/03/2006
Last updated
09/24/2012
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