Provider Demographics
NPI:1154376846
Name:PYLE, PAMELA G (MD)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:G
Last Name:PYLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1181 FIRST COLONIAL RD
Mailing Address - Street 2:STE 200
Mailing Address - City:VA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454
Mailing Address - Country:US
Mailing Address - Phone:757-425-1600
Mailing Address - Fax:757-425-6495
Practice Address - Street 1:1181 FIRST COLONIAL RD
Practice Address - Street 2:STE 200
Practice Address - City:VA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454
Practice Address - Country:US
Practice Address - Phone:757-425-1600
Practice Address - Fax:757-425-6495
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101042270207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D82058Medicare UPIN
VA160001330Medicare PIN