Provider Demographics
NPI:1336542042
Name:FRANCONIA PEDIATRICS ASSOCIATES
Entity Type:Organization
Organization Name:FRANCONIA PEDIATRICS ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSHANT
Authorized Official - Middle Name:RAM
Authorized Official - Last Name:NAVALKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-906-4382
Mailing Address - Street 1:6078 FRANCONIA ROAD STE A/B
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310
Mailing Address - Country:US
Mailing Address - Phone:703-921-0256
Mailing Address - Fax:703-921-0257
Practice Address - Street 1:6078 FRANCONIA ROAD STE A/B
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310
Practice Address - Country:US
Practice Address - Phone:703-921-0256
Practice Address - Fax:703-921-0257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101247587261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care