| Pediatric Health Partners,pllc | |
|
3701 South St Portsmouth VA 23707-3121 | |
| (757) 966-9873 | |
| (757) 967-9547 |
| Full Name | Pediatric Health Partners,pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 3701 South St, Portsmouth, Virginia |
| Authorized Official Name and Position | Perla Jamias Soloria (PHYSICIAN) |
| Authorized Official Contact | 7579669873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Health Partners,pllc 3701 South St Portsmouth VA 23707 Ph: (757) 966-9873 | Pediatric Health Partners,pllc 3701 South St Portsmouth VA 23707-3121 Ph: (757) 966-9873 |
| NPI Number | 1164574950 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164574950 | NPI | - | NPPES |
| 2127819 | Other | VA | MAMSI |
| 2461504 & 2696905 | Other | VA | CIGNA |
| 75160 | Other | VA | OPTIMA HEALTH |
| 2696905 | Other | VA | CIGNA |
| 010057361 & 01005733 | Medicaid | VA | |
| 5514567 & 5514570 | Other | VA | FIRST HEALTH |
| 137078 & 137133 | Other | VA | ANTHEM |
| 3652536 & 3652579 | Other | VA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0101035962 & 0101046 (Virginia) | Primary |
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