Individual
OSEI A BONSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
199 HOSPITAL DR, SUITE 5, GALAX, VA 24333-2454
(276) 236-6136
Mailing address
199 HOSPITAL DR, SUITE 5, GALAX, VA 24333-2454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102202065
VA
207R00000X
Internal Medicine Physician
RT 4889
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972661312
—
VA
Enumeration date
12/05/2006
Last updated
08/17/2021
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