Individual
DR. PRASHANT BALWANT BAGALKOTKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
576 STERNBERG AVE, FORT EUSTIS, VA 23604-1527
(757) 314-7887
Mailing address
576 STERNBERG AVE, FORT EUSTIS, VA 23604-1527
(757) 314-7682
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101049685
VA
Other
Enumeration date
10/20/2005
Last updated
11/16/2022
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