IndividualActive
Gillian Costa, MD
NPI 1639754740 · Military Health Care Provider · Virginia Beach, VA
Provider details
- NPI number
- 1639754740
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 0101276109 (VA)
Specialties & taxonomies
Other Service Providers
- Military Health Care Provider171000000X
Other Service Providers
Practice location
Cag 1
1640 Tomcat Blvd Ste 100
Virginia Beach, VA 23460-2227
Phone: (757) 953-3933
Approximate (ZIP-level) locationGet directions
Mailing address
1640 Tomcat Blvd Ste 100
Virginia Beach, VA 23460-2227
Additional practice locations (1)
- 8955 Wood RoadBuilding 1, 19th Floor, Room 19121Bethesda, MD 20889Phone: (301) 319-8278
Registry dates
- Enumerated
- 2021-03-10
- Last updated
- 2024-12-26
- Certified
- 2024-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.