Organization
EXECUTIVE HEALTH CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMAL SELIM LOUKA II MD (PRESIDENT)
(757) 473-9300
Entity
Organization
Contact information
Practice address
4867 BAXTER RD, SUITE 105, VIRGINIA BEACH, VA 23462-4469
(757) 473-9300
(757) 473-9361
Mailing address
4867 BAXTER RD, SUITE 105, VIRGINIA BEACH, VA 23462-4469
(757) 473-9300
(757) 473-9361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101036392
VA
Other
Enumeration date
05/23/2007
Last updated
02/08/2016
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