Healthcare Provider Details

I. General information

NPI: 1174506174
Provider Name (Legal Business Name): EDUARDO D SINAGUINAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

Provider Other Name: ED D SINAGUINAN MD

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 24TH ST
FORT LEE VA
23801-1716
US

IV. Provider business mailing address

506 GREEN GARDEN CIR
CHESTER VA
23836-2687
US

V. Phone/Fax

Practice location:
  • Phone: 804-734-9905
  • Fax: 804-734-9011
Mailing address:
  • Phone: 804-530-3048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101234895
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: