Provider Demographics
NPI:1588620991
Name:T. ONSANIT, MD, PC
Entity Type:Organization
Organization Name:T. ONSANIT, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TAWACHAI
Authorized Official - Middle Name:
Authorized Official - Last Name:ONSANIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-464-5642
Mailing Address - Street 1:1020 INDEPENDENCE BLVD
Mailing Address - Street 2:204
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-5500
Mailing Address - Country:US
Mailing Address - Phone:757-464-5642
Mailing Address - Fax:757-363-1973
Practice Address - Street 1:1020 INDEPENDENCE BLVD
Practice Address - Street 2:204
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-5500
Practice Address - Country:US
Practice Address - Phone:757-464-5642
Practice Address - Fax:757-363-1973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101027846208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB08741Medicare UPIN