Individual
FELIPE C VILLASIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4941
(757) 312-8121
Mailing address
PO BOX 1361, VIRGINIA BEACH, VA 23451-0361
(757) 431-3976
(757) 410-8963
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101024474
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176607
ANTHEM
VA
01
—
233775
MDIPA
VA
01
—
60135
OPTIMA
VA
Enumeration date
07/15/2006
Last updated
07/08/2007
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