COLONIAL HEIGHTS PEDIATRICS LTD. NPI 1972797256

NPI Information

  • NPI: 1972797256
  • Provider Name: COLONIAL HEIGHTS PEDIATRICS LTD.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Former Legal Business Name: PETERSBURG CHILDREN CLINIC
  • CLIA Number: 49D0901875
  • Address: 16011 KAIROS RD
    SUITE 'A'
    COLONIAL HEIGHTS, VA
    ZIP 23834
  • Phone: (804) 520-2600

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NPI Details

COLONIAL HEIGHTS PEDIATRICS LTD. is a pediatrics in Colonial Heights, 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. COLONIAL HEIGHTS PEDIATRICS LTD. NPI is 1972797256. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Petersburg Children Clinic.

The provider's business location address is:

16011 KAIROS RD
SUITE 'A'
COLONIAL HEIGHTS, VA
ZIP 23834-205
Phone: (804) 520-2600
Fax: (604) 520-5853

The provider's authorized official is Jawed Iqbal .
The authorized official title is Director and has the following contact phone number (804) 520-2600.

The CLIA number assigned to this NPI record is 49D0901875 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2007 and was last updated on 8/30/2007.

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
1208000000XPediatricsVIRGINIAYes

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
1G61226MEDICAIDVIRGINIA
2G62833MEDICAIDVIRGINIA

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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