Provider Demographics
NPI:1538753058
Name:VIRGINIA PLASTIC SURGERY, PLLC
Entity type:Organization
Organization Name:VIRGINIA PLASTIC SURGERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORBIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-997-7877
Mailing Address - Street 1:1037 CHAMPIONS WAY STE 600
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-3767
Mailing Address - Country:US
Mailing Address - Phone:757-997-7877
Mailing Address - Fax:833-673-0445
Practice Address - Street 1:1037 CHAMPIONS WAY STE 600
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-3767
Practice Address - Country:US
Practice Address - Phone:757-997-7877
Practice Address - Fax:833-673-0445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-24
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty