Organization
BAYSIDE PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAILEELA VENKATESAN MD (PHYSICIAN OWNER)
(757) 460-5521
Entity
Organization
Contact information
Practice address
1020 INDEPENDENCE BLVD, STE 105, VIRGINIA BEACH, VA 23455-5500
(757) 460-5521
(757) 460-3817
Mailing address
1020 INDEPENDENCE BLVD, STE 105, VIRGINIA BEACH, VA 23455-5500
(757) 460-5521
(757) 460-3817
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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