Provider Demographics
NPI:1689794398
Name:GARIN-LAFLAM, MONICA PAZ (MD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:PAZ
Last Name:GARIN-LAFLAM
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:102 HIGHLAND AVE SE STE 305
Mailing Address - Street 2:CARILION CLINIC, PEDIATRIC GASTROENTEROLOGY
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24013-2253
Mailing Address - Country:US
Mailing Address - Phone:540-985-9832
Mailing Address - Fax:540-224-4421
Practice Address - Street 1:4348 ELECTRIC RD
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-0720
Practice Address - Country:US
Practice Address - Phone:540-769-0976
Practice Address - Fax:540-857-5389
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.0897232080P0206X
NH144532080P0206X
VA01012542212080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30208915Medicaid
VT1016655Medicaid
NH001222105Medicare PIN