Individual provider · Type 1 NPI
Jeffrey Allen Vandesand, MD
Diagnostic Radiology Physician · Newport News, VA
NPI number
1972712115
Active
Practice location
860 Omni Blvd Ste 109
Newport News, VA 23606-4430
Fax (757) 232-8875
Mailing address
860 Omni Blvd Ste 101
Newport News, VA 23606-4430
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116016608 (VA) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 0101243665 (VA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1972712115
Jeffrey Allen Vandesand, MD's National Provider Identifier is 1972712115, issued on May 22, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Newport News, VA. The record was last updated on Dec 2, 2019.