Provider Demographics
NPI:1750711883
Name:APPLE PEDIATRICS, PLLC
Entity type:Organization
Organization Name:APPLE PEDIATRICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HALA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABDALLAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-956-9045
Mailing Address - Street 1:PO BOX 10066
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-8066
Mailing Address - Country:US
Mailing Address - Phone:703-956-9045
Mailing Address - Fax:703-956-9822
Practice Address - Street 1:20 PIDGEON HILL DR
Practice Address - Street 2:SUITE 109
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-6154
Practice Address - Country:US
Practice Address - Phone:703-956-9045
Practice Address - Fax:703-956-9822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-27
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101219628174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty