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Individual

DR. VASKEN K TENEKJIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3640 HIGH ST, SUITE 2F, PORTSMOUTH, VA 23707-3213
(757) 397-2383
(757) 937-5201
Mailing address
3640 HIGH ST, SUITE 2F, PORTSMOUTH, VA 23707-3213
(757) 397-2383
(757) 937-5201

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101031040
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25082
OPTIMA
VA
01
325219
ANTHEM
VA
01
890550K
MEDICAID OF NORTH CAROLIN
VA
Enumeration date
07/11/2005
Last updated
07/08/2007
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