Provider Demographics
NPI:1477741650
Name:ROCK-A-BYE PEDIATRICS PC
Entity Type:Organization
Organization Name:ROCK-A-BYE PEDIATRICS PC
Other - Org Name:PREMIER PEDIATRICS OF MANASSAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANIKA
Authorized Official - Middle Name:ZAKA
Authorized Official - Last Name:CHOWHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-330-9222
Mailing Address - Street 1:8713 DIGGES RD
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4403
Mailing Address - Country:US
Mailing Address - Phone:703-330-9222
Mailing Address - Fax:703-330-4425
Practice Address - Street 1:8713 DIGGES RD
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4403
Practice Address - Country:US
Practice Address - Phone:703-330-9222
Practice Address - Fax:703-330-4425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101234548208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty