Bayside Pediatrics LLC
NPI #1225174154 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1225174154
- Entity Type
- Organization
- Organization Name
- Bayside Pediatrics LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jan 29, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1020 INDEPENDENCE BLVD
- Address 2
- STE 105
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23455-5500
- Phone
- (757) 460-5521
Authorized Official
- Name
- SAILEELA VENKATESAN, MD
- Title
- PHYSICIAN OWNER
- Phone
- (757) 460-5521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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