Provider Demographics
NPI:1598096091
Name:PRINCE WILLIAM PEDIATRIC CARE INC.
Entity Type:Organization
Organization Name:PRINCE WILLIAM PEDIATRIC CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEIKH
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD,FAAP
Authorized Official - Phone:703-257-9878
Mailing Address - Street 1:8701 STONEWALL RD
Mailing Address - Street 2:UNIT 1A
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-8326
Mailing Address - Country:US
Mailing Address - Phone:703-257-9878
Mailing Address - Fax:703-257-9772
Practice Address - Street 1:8701 STONEWALL RD
Practice Address - Street 2:UNIT 1A
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-8326
Practice Address - Country:US
Practice Address - Phone:703-257-9878
Practice Address - Fax:703-257-9772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-22
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty