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Contact Information

GIOVANNI DISANDRO JR, MD
885 KEMPSVILLE RD STE 101
NORFOLK, VA23502-3800
 Phone: 757-461-1444
 Fax: 757-461-8238
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Ophthalmic Plastic and Reconstructive Surgery

207WX0200X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for GIOVANNI DISANDRO JR · (Male)

NPI # 1497997712
Status Active
Credentials MD
Entity Individual
Enumeration date 04/01/2009
Last updated 03/20/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101254154
  • NC Medicaid 1497997712
  • VA Medicaid 1497997712
  • VA Other PAR AETNA
  • VA Other 501106 ANTHEM BC/BS
  • VA Other PAR CIGNA
  • VA Other PAR CORVEL
  • VA Other 1497997712 COVENTRY NETWORK
  • VA Other PAR MULTIPLAN
  • VA Other 10116316 OPTIMA HEALTH
  • VA Other -019 TRICARE/CHAMPUS
  • VA Other 1497997712 UNITED HEALTHCARE
  • VA Other PAR USA MANAGED CARE
  • VA Other PAR VIRGINIA HEALTH NETWORK
  • VA Other 1497997712 VIRGINIA PREMIER HEALTH PLAN
Hospital affiliation(s)
  • SENTARA LEIGH HOSPITAL - (Acute Care)
    830 KEMPSVILLE ROAD
    NORFOLK, VA 23502
  • SENTARA NORFOLK GENERAL HOSPITAL - (Acute Care)
    600 GRESHAM DR
    NORFOLK, VA 23507
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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