Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 0101245217 | VA |
NPI | 1275548695 |
---|---|
Provider Name | Dr. Lambros Konstantinos Viennas |
First Address | Norfolk, VA 23501-0936 |
Second Address | Norfolk, VA 23507-1914 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 07/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
-019 | TRICARE/CHAMPUS (EVMS HEALTH SERVICES) (01) | VA |
10045252 | SENTARA OPTIMA HEALTH (01) | VA |
1275548695 | (05) | VA |
368106 | ANTHEM (EVMS HEALTH SERVICES) (01) | VA |
5911765 | (05) | NC |
G24244 | (02) | MD |
PAR | AETNA (EVMS HEALTH SERVICES) (01) | VA |
PAR | CIGNA (EVMS HEALTH SERVICES) (01) | VA |
PAR | CORVEL/CORCARE (EVMS HEALTH SERVICES) (01) | VA |
PAR | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY (01) | VA |
PAR | MULTIPLAN (EVMS HEALTH SERVICES) (01) | VA |
PAR | UNITED HEALTH CARE (01) | VA |
PAR | USA MANAGED CARE (EVMS HEALTH SERVICES) (01) | VA |
PAR | VIRGINIA HEALTH NETWORK (01) | VA |
PAR | VIRGINIA PREMIER HEALTH (01) | VA |