Individual
VICTOR OWUSU-YAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
129 BROAD ST # B, DANVILLE, VA 24541-2301
(434) 791-2600
(434) 792-5347
Mailing address
129 BROAD ST # B, DANVILLE, VA 24541-2301
(434) 791-2600
(434) 792-5347
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101051774
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006018947
—
VA
01
—
080464
ANTHEM BLUE CROSS BLUE SH
VA
05
—
46215
—
VA
01
—
70219
SOUTHERN HEALTH
—
05
—
890607A
—
NC
Enumeration date
01/30/2007
Last updated
10/02/2022
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