Provider Demographics
NPI:1841206166
Name:BIBAY, LAARNI SERQUINA (MD)
Entity type:Individual
Prefix:DR
First Name:LAARNI
Middle Name:SERQUINA
Last Name:BIBAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:301 GOODE WAY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23704-2266
Mailing Address - Country:US
Mailing Address - Phone:757-399-5300
Mailing Address - Fax:757-399-5987
Practice Address - Street 1:301 GOODE WAY
Practice Address - Street 2:SUITE 203
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-2266
Practice Address - Country:US
Practice Address - Phone:757-399-5300
Practice Address - Fax:757-399-5987
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101048337208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAF82624Medicare UPIN