Individual
LINDA D PEGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101236215
VA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
0101236215
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002963700
—
MD
05
—
010061709
—
VA
01
—
0101236215
BOARD OF MEDICINE LICENSE TO PRACTICE
VA
05
—
8906654
—
NC
Enumeration date
05/25/2006
Last updated
07/25/2023
Update your record
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