Healthcare Provider Details

I. General information

NPI: 1821976770
Provider Name (Legal Business Name): PEDIACARE OF VIRGINIA, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21155 WHITFIELD PL STE 102
STERLING VA
20165-7277
US

IV. Provider business mailing address

21155 WHITFIELD PL STE 102
STERLING VA
20165-7277
US

V. Phone/Fax

Practice location:
  • Phone: 571-434-7337
  • Fax: 571-434-7338
Mailing address:
  • Phone: 571-434-7337
  • Fax: 571-434-7338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: CLAUDE KARAM
Title or Position: OWNER AND CEO
Credential: MD
Phone: 703-472-7035