Individual provider · Type 1 NPI
Goran Tesic, MD
Vascular Surgery Physician · Petersburg, VA
NPI number
1174802334
Active
Practice location
601 Old Wagner Rd Bldg D
Petersburg, VA 23805-9313
Mailing address
PO Box 101
Stevenson, MD 21153-0101
Other practice locations
- 5589 Greenwich Rd Ste 100, Virginia Beach, VA 23462-6565 · (888) 628-8272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | R8499 (TX) |
| Surgery Physician | 208600000X | 125715 (NY) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
4 other providers at this address
- Direct Anesthesia Partners LLCCertified Registered Nurse Anesthetist Petersburg, VA NPI 1255032033
- Real Simple Healthcare LLCFoot & Ankle Surgery Podiatrist Petersburg, VA NPI 1861063935
- Hunter Gagnon, PA-CPhysician Assistant Petersburg, VA NPI 1225823198
- Katrina Renae Stotts, MMSMedical Physician Assistant Petersburg, VA NPI 1457735896
About NPI 1174802334
Goran Tesic, MD's National Provider Identifier is 1174802334, issued on Aug 5, 2011. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Petersburg, VA. The record was last updated on Aug 25, 2026.