Individual
KIRAN S DEBNATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 TYRE NECK RD STE 101, PORTSMOUTH, VA 23703
(757) 399-7451
(757) 399-1158
Mailing address
3200 TYRE NECK RD STE 101, PORTSMOUTH, VA 23703-3329
(757) 399-7451
(757) 399-1158
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101031216
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005749506
—
VA
Enumeration date
01/23/2006
Last updated
06/04/2018
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