Gauvin, Wali

Gauvin, Wali is an individual health care provider with primary practice located at 14130 Noblewood Plz Suite 306, Woodbridge VA 22193-1464. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Gauvin, Wali can be contacted via phone (800) 784-8590.

Contact Information

Primary practice address
14130 Noblewood Plz Suite 306 Woodbridge VA 22193-1464
Phone: (800) 784-8590
Fax: (877) 755-3396
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D0067292 Maryland
Other Service Providers / Specialist 174400000X 0101242065 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101242065 Virginia
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X D0067292 Maryland
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 0101242065 Virginia

Profile Details

NPI number 1467485383
LBN Legal business name Gauvin, Wali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Apr 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467485383 NPPES
Maryland MEDICAID 017057700
Maryland MEDICAID 015161604

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