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Individual

TAREK A ELBESHBESHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6632 INDIAN RIVER RD, VIRGINIA BEACH, VA 23464-3442
(757) 424-4300
(757) 523-0632
Mailing address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101041266
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010192005
VA
01
418619
SOUTHERN HEALTH
VA
01
52842
ANTHEM
VA
01
541690902
MID ATLANTIC SOLUTIONS
VA
Enumeration date
10/18/2006
Last updated
04/12/2010
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