Individual
MR. ITSE BEGHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1721 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2802
(757) 953-8859
Mailing address
1600 GRADY AVE APT 108, CHARLOTTESVILLE, VA 22903-1905
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
05/10/2016
Last updated
05/06/2020
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