Provider Demographics
NPI:1194585356
Name:PEDIATRIC HEALTH CENTERS, INC
Entity type:Organization
Organization Name:PEDIATRIC HEALTH CENTERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYEWUENYI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-772-1212
Mailing Address - Street 1:6001 LANDOVER RD STE 5
Mailing Address - Street 2:
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785-1143
Mailing Address - Country:US
Mailing Address - Phone:301-772-1212
Mailing Address - Fax:
Practice Address - Street 1:6001 LANDOVER RD STE 5
Practice Address - Street 2:
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-1143
Practice Address - Country:US
Practice Address - Phone:301-772-1212
Practice Address - Fax:301-772-0033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty