Individual
PETER D L PAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1060 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3002
(757) 395-2323
(757) 395-6280
Mailing address
1060 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3002
(757) 395-2323
(757) 395-6280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101241936
VA
207R00000X
Internal Medicine Physician
0101241936
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285764399
—
VA
01
—
P00423596
RAILROAD MEDICARE
VA
Enumeration date
03/07/2007
Last updated
03/11/2025
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