Individual
MICHOLE M PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4348 ELECTRIC RD, ROANOKE, VA 24018-0720
(540) 769-0976
(540) 857-5386
Mailing address
1030 S JEFFERSON ST, SUITE 201, ROANOKE, VA 24016-4418
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101058349
VA
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
0101058349
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904969
—
NC
Enumeration date
07/11/2006
Last updated
11/05/2021
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