Provider Demographics
NPI:1659381697
Name:BALGAVY, DONNA G (NP)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:G
Last Name:BALGAVY
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:205 BUSINESS PARK DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-6335
Mailing Address - Country:US
Mailing Address - Phone:757-962-1083
Mailing Address - Fax:757-962-1254
Practice Address - Street 1:100 KINGSLEY LN
Practice Address - Street 2:SUITE 200
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-4604
Practice Address - Country:US
Practice Address - Phone:757-889-5351
Practice Address - Fax:757-962-1254
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2008-10-30
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Provider Licenses
StateLicense IDTaxonomies
VA0024165422207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA58865NOtherOPTIMA HEALTH PLAN
VA177186OtherANTHEM MEDIGAP
VA177186OtherANTHEM MEDIGAP
VAP75352Medicare UPIN