Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 0116034593 | VA |
NPI | 1770197956 |
---|---|
Provider Name | Dr. Imane Chedid |
First Address | Richmond, VA 23298-0401 |
Second Address | Richmond, VA 23298-5023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2020 |
Last Update Date | 03/09/2020 |