Organization
BAYSIDE HEMATOLOGY &ONCOLOGY P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHASKAR GADAHAD RAO MD (PRESIDENT)
(797) 464-6464
Entity
Organization
Contact information
Practice address
1020 INDEPENDENCE BLVD, SUITE 208, VIRGINIA BEACH, VA 23455-5500
(757) 464-6464
(757) 464-6424
Mailing address
1020 INDEPENDENCE BLVD, SUITE 208, VIRGINIA BEACH, VA 23455-5500
(757) 464-6464
(757) 464-6424
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274502
ANTHEM BC BS
VA
01
—
35041
SENTARA PLANS
VA
Enumeration date
09/27/2006
Last updated
08/22/2020
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