Padilla, Mary Teresa

Padilla, Mary Teresa is an individual health care provider with primary practice located at 9105 Stony Point Pkwy , Richmond VA 23235-1979. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as her primary health care specialty. Padilla, Mary Teresa can be contacted via phone (804) 287-1030.

Contact Information

Primary practice address
9105 Stony Point Pkwy Richmond VA 23235-1979
Phone: (804) 287-1030
Fax: (804) 288-3529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 0101241543 Virginia

Profile Details

NPI number 1205059359
LBN Legal business name Padilla, Mary Teresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Mar 21st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205059359 NPPES
Virginia MEDICAID 1205059359

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