Individual
DR. GUNADHAR PANIGRAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1925 GLENN MITCHELL DR, SUITE 202, VIRGINIA BEACH, VA 23456-0170
(757) 507-0702
(757) 962-1254
Mailing address
205 BUSINESS PARK DR, SUITE 200, VIRGINIA BEACH, VA 23462-6335
(757) 962-1083
(757) 962-1254
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101035440
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-001
TRICARE/CHAMPUS
VA
05
—
010226589
—
VA
01
—
06381
BC/BS
NC
01
—
10015734
SENTARA OPTIMA
VA
01
—
12375
OPTIMA HEALTH PLAN
VA
05
—
1467488106
—
VA
01
—
187094
ANTHEM BC/BS
VA
01
—
269854
ANTHEM
VA
01
—
313774
MAMSI
VA
01
—
413774
UHC/MAMSI
—
05
—
8906381
—
NC
01
—
PAR
VIRGINIA HEALTH NETWORK
VA
Enumeration date
06/24/2006
Last updated
08/12/2011
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