PRINCE EDWARD PEDIATRICS NPI 1447668199

NPI Information

  • NPI: 1447668199
  • Provider Name: PRINCE EDWARD PEDIATRICS
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 1715 W 3RD ST
    FARMVILLE, VA
    ZIP 23901
  • Phone: (434) 315-0138

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NPI Details

PRINCE EDWARD PEDIATRICS is a pediatrics in Farmville, 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. PRINCE EDWARD PEDIATRICS NPI is 1447668199. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1715 W 3RD ST
FARMVILLE, VA
ZIP 23901-651
Phone: (434) 315-0138
Fax: (434) 392-9748

The provider's authorized official is Ibtehal Al-ani .
The authorized official title is Phyician and has the following contact phone number (434) 315-0138.

The enumeration date for this NPI number is 7/25/2014 and was last updated on 7/25/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics0101242689VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11609040658MEDICAIDVIRGINIA

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: 11/21/2025

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