CHILDRENS CARDIAC CARE LLC NPI 1467055152

NPI Information

  • NPI: 1467055152
  • Provider Name: CHILDRENS CARDIAC CARE LLC
  • Classification: Pediatrics - 2080P0202X
  • Specialization: Pediatric Cardiology
  • Entity Type: Organization
  • CLIA Number: 49D2283185
  • Address: 609 EMANCIPATION HWY STE 201
    FREDERICKSBURG, VA
    ZIP 22401
  • Phone: (540) 322-4949

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NPI Details

CHILDRENS CARDIAC CARE LLC is a pediatric cardiology pediatrics in Fredericksburg, VA. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. CHILDRENS CARDIAC CARE LLC NPI is 1467055152. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

609 EMANCIPATION HWY STE 201
FREDERICKSBURG, VA
ZIP 22401-566
Phone: (540) 322-4949
Fax: (571) 376-6553

The provider's authorized official is Amir Dangol .
The authorized official title is Member Manager and has the following contact phone number (571) 364-2301.

The CLIA number assigned to this NPI record is 49D2283185 - other - outpt center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2020 and was last updated on 7/28/2025.

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
12080P0202XPediatricsPediatric CardiologyYes

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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