Provider Demographics
NPI:1518572460
Name:SARDI RESTREPO, JUAN PABLO (MD)
Entity Type:Individual
Prefix:
First Name:JUAN
Middle Name:PABLO
Last Name:SARDI RESTREPO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9007
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22906-9007
Mailing Address - Country:US
Mailing Address - Phone:434-924-2203
Mailing Address - Fax:
Practice Address - Street 1:415 RAY C HUNT DR STE 3100
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-2980
Practice Address - Country:US
Practice Address - Phone:434-924-2203
Practice Address - Fax:434-244-4419
Is Sole Proprietor?:No
Enumeration Date:2020-09-08
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101276624207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery