Milestones Pediatric and Adolescent Care, LLC
NPI #1114352598 in Gainesville, Virginia
Provider Information
- NPI Number
- 1114352598
- Entity Type
- Organization
- Organization Name
- Milestones Pediatric and Adolescent Care, LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Sep 4, 2013
- Last Updated
- Sep 4, 2013
Practice Location
- Address
- 7500 IRON BAR LN STE 120
- City
- Gainesville
- State
- Virginia
- ZIP Code
- 20155-3603
- Phone
- (703) 753-6772
Authorized Official
- Name
- DR. AHMED TARIK SHINAISHIN, M.D.
- Title
- PEDIATRICIAN
- Phone
- (703) 753-6772
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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