Provider Demographics
NPI:1154389492
Name:FALGUI, VICENTE T (MD)
Entity type:Individual
Prefix:DR
First Name:VICENTE
Middle Name:T
Last Name:FALGUI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:212 S MAIN ST
Mailing Address - Street 2:STE 3
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-2943
Mailing Address - Country:US
Mailing Address - Phone:434-791-4648
Mailing Address - Fax:434-793-2631
Practice Address - Street 1:212 S MAIN ST
Practice Address - Street 2:STE 3
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-2943
Practice Address - Country:US
Practice Address - Phone:434-791-4648
Practice Address - Fax:434-793-2631
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101022915207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006092691Medicaid