Individual
VAGHARSH ANTANESIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 15TH ST NW, NORTON, VA 24273-1616
(276) 679-3488
Mailing address
406 GRISWOLD ST APT 3, GLENDALE, CA 91205-1944
(747) 998-3488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0116035114
VA
Other
Enumeration date
05/21/2021
Last updated
10/15/2024
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