Individual
DR. DAVID S MOORTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1080 FIRST COLONIAL RD STE 201, VIRGINIA BEACH, VA 23454-2439
(757) 395-6450
(757) 622-2750
Mailing address
1080 FIRST COLONIAL RD STE 201, VIRGINIA BEACH, VA 23454-2439
(757) 395-6450
(757) 622-2750
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
214078
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
214078
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026146103
UNIVERA
—
01
—
110836AH
PREFERRED CARE
—
01
—
200995527
CHAMPUS VA
—
01
—
2140788B
TRICARE
—
01
—
608856700
DOL-OWCP
—
01
—
7001141
AETNA
—
01
—
786892
MVP
—
01
—
8799848
GHI
—
01
—
P010214078
BLUECHOICE
NY
01
—
P020214078
EXCELLUS BCBS
—
01
—
RC60214078
POMCO
—
Enumeration date
05/24/2005
Last updated
01/30/2026
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