Pasquale J Accardo, M.D.
Individual provider Active NPI Pediatrics Physician · Richmond, VA
NPI 1265536643 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1265536643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 0101232310 (VA)
- Practice address
- 1250 E Marshall Street
Pediatrics
Richmond, VA 23298-0646 - Phone
- (804) 828-3744
- Fax
- (804) 828-6455
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101232310 | VA | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101232310 | VA | Yes |
Addresses
Primary practice location
1250 E Marshall Street
Pediatrics
Richmond, VA 23298-0646
Mailing address
PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6734910 541581185 | Medicaid | VA |
Other providers in Richmond, VA
- Abundance of Faith Youth and Family Services, LLC
- Abundant Life Center II, LLC
- Abundant Life Center Iih & MHSS
- Acacia Counseling & Consultative Services
- Jennifer Accardo
- Accent Group and Family Services
- Access Regional Taskfroce, Inc
- Acclimate ABA VA LLC
- Accurate Solutions Medical Training
- Nitika Collins Achalam
All providers in Richmond, VA · Pediatrics Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.