Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 0101840535 | VA |
N | 2080P0202X | Pediatric Cardiologist | D55138 | MD |
N | 2080P0202X | Pediatric Cardiologist | MD32282 | DC |
NPI | 1235216508 |
---|---|
Provider Name | Deneen Heath |
First Address | Fairfax, VA 22031-5216 |
Second Address | Fairfax, VA 22031-5216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 27/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H56367 | (02) |