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Individual

ROQUE F PLANAS-GALLIANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 RIVERVIEW AVE, STE 500, NORFOLK, VA 23510-1065
(757) 233-8252
(757) 233-8905
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3516
(757) 686-0230

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101029861
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
284087
ANTHEM INSURANCE
VA
01
32995
SENTARA/OPTIMA INSURANCE
VA
01
541951145
CIGNA
VA
01
541951145004
TRICARE
VA
05
5830362
VA
05
890552G
NC
Enumeration date
02/08/2006
Last updated
12/06/2016
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