Organization
COLONIAL HEIGHTS PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAWED IQBAL M.D (DIRECTOR)
(804) 536-1332
Entity
Organization
Contact information
Practice address
16011 KAIROS RD, SUITE 100, SOUTH CHESTERFIELD, VA 23834-5207
(804) 520-2600
(804) 520-5853
Mailing address
16011 KAIROS RD, SUITE 100, SOUTH CHESTERFIELD, VA 23834-5207
(804) 520-2600
(804) 520-5853
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
010156547
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
672282
—
VA
Enumeration date
12/17/2013
Last updated
12/17/2013
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