Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Board Certified Family Practice, Inc

Organization Family Medicine Physician · NPI 1972715274

Board Certified Family Practice, Inc is a Family Medicine Physician in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2020 S Independence Blvd Ste 3
Virginia Beach, VA 23453-4776
Phone: (757) 471-6977
Fax: (757) 471-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101045379 (VA)

Record details

NPI number1972715274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gautam Desai — Owner · (757) 471-6977
NPI enumeratedMay 7, 2007
Last updated in NPPESMarch 14, 2012
Mailing address2020 S Independence Blvd Ste 3, Virginia Beach, VA 23453-4776

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