Individual
MRS. MEGAN VENEZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4092 FOXWOOD DR, VIRGINIA BEACH, VA 23462-5225
(757) 467-4200
Mailing address
4092 FOXWOOD DR, VIRGINIA BEACH, VA 23462-5225
(757) 467-4200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101259749
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15306065000516
MEDICARE PECOS
VA
Enumeration date
04/23/2013
Last updated
06/29/2016
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