Provider Demographics
NPI:1477036028
Name:PINAL-FERNANDEZ, IAGO (MD, PHD)
Entity Type:Individual
Prefix:
First Name:IAGO
Middle Name:
Last Name:PINAL-FERNANDEZ
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4949 BATTERY LN APT 422
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4941
Mailing Address - Country:US
Mailing Address - Phone:202-361-2183
Mailing Address - Fax:
Practice Address - Street 1:NIH/NIAMS BLDG 50, ROOM 1140
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:202-361-2183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2001702006207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine