Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 0101264183 | VA |
NPI | 1013320407 |
---|---|
Provider Name | Victor Saxena |
First Address | Virginia Beach, VA 23462-6523 |
Second Address | Norfolk, VA 23507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2014 |
Last Update Date | 20/08/2018 |