Pingul, Mia Farida Mediana
Pingul, Mia Farida Mediana is an individual health care provider with primary practice located at 3023 Hamaker Ct Suite 600, Fairfax VA 22031-2207. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Pingul, Mia Farida Mediana can be contacted via phone (703) 876-2788.Contact Information
Primary practice address
3023 Hamaker Ct Suite 600
Fairfax VA 22031-2207
Phone: (703) 876-2788
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 0101258508 | Virginia |
Profile Details
| NPI number | 1851419857 |
|---|---|
| LBN Legal business name | Pingul, Mia Farida Mediana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Dec 29th, 2016 - about 8 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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