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BAYSIDE PEDIATRICS LLC NPI 1225174154


NPI Information

NPI: 1225174154
Provider Name: BAYSIDE PEDIATRICS LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 49D0703960

Address:
1020 INDEPENDENCE BLVD
STE 105
VIRGINIA BEACH, VA
ZIP 23455
Phone: (757) 460-5521
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BAYSIDE PEDIATRICS LLC is a pediatrics in Virginia Beach, VA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BAYSIDE PEDIATRICS LLC NPI is 1225174154. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1020 INDEPENDENCE BLVD
STE 105
VIRGINIA BEACH, VA
ZIP 23455-500
Phone: (757) 460-5521
Fax: (757) 460-3817

The provider's authorized official is Saileela Venkatesan .
The authorized official title is Physician Owner and has the following contact phone number (757) 460-5521.

The CLIA number assigned to this NPI record is 49D0703960 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 8/22/2020.


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
1208000000XPediatricsYes

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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