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1417047663
GAUTAM D DESAI
VIRGINIA BEACH, VA
NPI
1417047663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101045379)
Enumeration Date
2006-10-16
Last Update Date
2010-06-24
Business Address
Mr. GAUTAM D DESAI MD
2020 S INDEPENDENCE BLVD SUITE #3
VIRGINIA BEACH, VA 23453
Phone number: 757-471-6977
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Mailing Address
Mr. GAUTAM D DESAI MD
2020 S INDEPENDENCE BLVD SUITE #3
VIRGINIA BEACH, VA 23453
Phone number: 757-471-6977
Copy
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