Individual
AILA CO WHITESIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2088 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23456-4014
(757) 668-6700
(757) 668-6680
Mailing address
7750 DILEY RD STE A, CANAL WINCHESTER, OH 43110-7758
(614) 837-7337
(614) 837-7335
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101279051
VA
208000000X
Pediatrics Physician
57.030225
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0409330
—
OH
Enumeration date
03/23/2017
Last updated
10/05/2023
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