Siham Alzeer-Khalifeh, M.D.

Individual provider Active NPI Pediatrics Physician · Bedford, VA

NPI 1477541167 · NPPES record last updated Feb 21, 2014

Key facts

NPI
1477541167
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
0101255490 (VA)
Practice address
554 Blue Ridge Ave Suite 8
Bedford, VA 24523
Phone
(434) 455-2480
Fax
(434) 455-2487
NPI assigned
Oct 7, 2005
Sex
Female
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

LicenseStateTypeSpecialty
0101255490VAMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101255490 VA Yes

Addresses

Primary practice location

554 Blue Ridge Ave Suite 8
Bedford, VA 24523

Mailing address

134 Elon Rd
Madison Heights, VA 24572-2536
Phone (434) 455-2480

Other identifiers

IdentifierTypeStateIssuer
228456859AMedicaidGA

Other providers in Bedford, VA

All providers in Bedford, VA · Pediatrics Physician in Virginia

Sources for this page

Verify at the official NPI Registry.