Linda D Pegram
Pediatrician Pediatric Hematology-Oncologist
601 Childrens Ln
Norfolk
, Virginia 23507-1910
Linda D Pegram
Pediatrician Pediatric Hematology-Oncologist
601 Childrens Ln
Norfolk
, Virginia 23507-1910
(757) 668-9691
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About
Features
Specialties
- Pediatrician
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Linda D Pegram
- Po Box 79137
- Baltimore, MD
- Zip : 21279-0137
- Fax : (757) 668-9691
- Phone : (757) 668-7200
Second Address
- Linda D Pegram
- 601 Childrens Ln
- Norfolk, VA
- Zip : 23507-1910
- Fax : (757) 668-7811
- Phone : (757) 668-7243
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 0101236215 | VA |
| Y | 2080P0207X | Pediatric Hematology-Oncologist | 0101236215 | VA |
National Provider Identifier
| NPI | 1023064664 |
|---|---|
| Provider Name | Linda D Pegram |
| First Address | Baltimore, MD 21279-0137 |
| Second Address | Norfolk, VA 23507-1910 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2006 |
| Last Update Date | 18/12/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 002963700 | (05) | MD |
| 010061709 | (05) | VA |
| 8906654 | (05) | NC |
| H46309 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.