Individual
DR. DEEPAK ROSHAN TALREJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 FIRST COLONIAL RD STE 300, VIRGINIA BEACH, VA 23454-2409
(757) 395-1760
Mailing address
1101 FIRST COLONIAL RD STE 300, VIRGINIA BEACH, VA 23454-2409
(757) 395-1760
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101236598
VA
207RI0011X
Interventional Cardiology Physician
Primary
0101236598
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-001
TRICARE/CHAMPUS
VA
05
—
010072671
—
VA
05
—
010133114
—
VA
01
—
067K9
BCBS
NC
01
—
138462
ANTHEM BCBS
VA
01
—
15792
SENTARA OPTIMA
VA
01
—
165716
ANTHEM
VA
01
—
75980
OPTIMA/SENTARA
VA
05
—
89067K9
—
NC
01
—
9125500
UHC/MAMSI
—
01
—
PAR
USA MANAGED CARE
VA
Enumeration date
03/14/2006
Last updated
11/01/2023
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