MEDICARE: PEDIATRIC HEALTH CENTERS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1194585356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEDIATRIC HEALTH CENTERS, INC

Provider Business Mailing Address
First Line	:	6001 LANDOVER RD STE 5
Second Line	:
City	:	CHEVERLY
State	:	MD
Zip	:	20785-1143
Country	:	US
Telephone Number	:	301-772-1212
Fax Number	:

Provider Business Practice Location Address
First Line	:	6001 LANDOVER RD STE 5
Second Line	:
City	:	CHEVERLY
State	:	MD
Zip	:	20785-1143
Country	:	US
Telephone Number	:	301-772-1212
Fax Number	:	301-772-0033

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RITA ONYEWUENYI
Credential	:	MD
Telephone Number	:	301-772-1212

Provider Enumeration Date	:	03/22/2024
Last Update Date	:	03/22/2024

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