Organization
COLONIAL HEIGHTS PEDIATRICS LTD.
Active
Other names
Petersburg Children Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JAWED IQBAL M.D., (DIRECTOR)
(804) 520-2600
Entity
Organization
Contact information
Practice address
16011 KAIROS RD, SUITE 'A', COLONIAL HEIGHTS, VA 23834-5205
(804) 520-2600
(604) 520-5853
Mailing address
16011 KAIROS RD, SUITE 'A', COLONIAL HEIGHTS, VA 23834-5205
(804) 520-2600
(604) 520-5853
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G61226
—
VA
05
—
G62833
—
VA
Enumeration date
08/30/2007
Last updated
08/30/2007
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