Prince Edward Pediatrics

NPI #1447668199 in Farmville, Virginia

Provider Information

NPI Number: 1447668199
Entity Type: Organization
Organization Name: Prince Edward Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Jul 25, 2014
Last Updated: Jul 25, 2014

Practice Location

Address: 1715 W 3RD ST
City: Farmville
State: Virginia
ZIP Code: 23901-2651
Phone: (434) 315-0138

Authorized Official

Name: DR. IBTEHAL AL-ANI
Title: PHYICIAN
Phone: (434) 315-0138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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Individual Providers

Provider Name	Specialty	City
Adriana Montilla Hernandez, MD	Pediatrics	Farmville	AI Deep Dive
DR. Ibtehal A.sabri Al-Ani, MD	Pediatrics	Farmville	AI Deep Dive
Teresita Capati Dionisio, M.D.	Pediatrics	Farmville	AI Deep Dive
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Organizations

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Centra Medical Group, LLC Part of Centra Medical Group, LLC	Pediatrics	Farmville	AI Deep Dive

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