Individual
DR. MICHAEL EDWARD BOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4509 WHITECHAPEL DR, VIRGINIA BEACH, VA 23455-6447
(757) 460-4655
(757) 460-7744
Mailing address
4509 WHITECHAPEL DR, VIRGINIA BEACH, VA 23455-6447
(757) 460-4655
(757) 460-7744
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
0101034746
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006015255
—
VA
Enumeration date
08/08/2006
Last updated
01/24/2019
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