DR. MIA FARIDA MEDIANA PINGUL MD NPI 1851419857

NPI Information

DR. Mia Farida Mediana Pingul, MD is a pediatric endocrinology pediatrics in Fairfax, VA. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. DR. Mia Farida Mediana Pingul, MD NPI is 1851419857. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3023 HAMAKER CT
SUITE 600
FAIRFAX, VA
ZIP 22031-207
Phone: (703) 876-2788

The enumeration date for this NPI number is 3/27/2007 and was last updated on 12/29/2016.

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:

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