Individual
DR. MICHEL PAUL GINGRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2112 HARTFORD RD, HAMPTON, VA 23666-2409
(757) 826-7516
(757) 826-6232
Mailing address
2208 EXECUTIVE DR, SUITE C, HAMPTON, VA 23666-6603
(757) 826-7516
(757) 826-6232
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0101044995
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007105517
—
VA
01
—
320272
BLUE CROSS BLUE SHIELD
VA
01
—
O80069
SENTARA/OPTIMA
VA
Enumeration date
09/16/2006
Last updated
08/29/2019
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