Individual
PAUL M DERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1168 FIRST COLONIAL RD, STE 201, VIRGINIA BEACH, VA 23454-2444
(757) 481-1113
(757) 496-3822
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101241807
VA
207R00000X
Internal Medicine Physician
10179
NV
208M00000X
Hospitalist Physician
101241807
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018782
—
NV
01
—
179167
BCBS VA
VA
01
—
689437
SOUTHERN HEALTH
—
Enumeration date
06/13/2005
Last updated
07/06/2011
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