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PEDIATRIC GASTROENTEROLOGY OF RICHMOND P.C. NPI 1922325919


NPI Information

NPI: 1922325919
Provider Name: PEDIATRIC GASTROENTEROLOGY OF RICHMOND, P.C.
Classification: Pediatrics - 2080P0206X
Entity Type: Organization

Specialization: Pediatric Gastroenterology

CLIA Number: 49D2012591

Address:
7229 FOREST AVE
SUITE 105
RICHMOND, VA
ZIP 23226
Phone: (804) 888-7337
Get Directions

PEDIATRIC GASTROENTEROLOGY OF RICHMOND, P.C. is a pediatric gastroenterology pediatrics in Richmond, VA. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. PEDIATRIC GASTROENTEROLOGY OF RICHMOND, P.C. NPI is 1922325919. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7229 FOREST AVE
SUITE 105
RICHMOND, VA
ZIP 23226-765
Phone: (804) 888-7337

The provider's authorized official is Juan Villalona .
The authorized official title is Owner and has the following contact phone number (804) 888-7337.

The CLIA number assigned to this NPI record is 49D2012591 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2010 and was last updated on 4/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0206XPediatricsPediatric GastroenterologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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