IndividualActive
Pedro Jose, MD
NPI 1235949173 · Pediatric Nephrology Physician · Lorton, VA
Provider details
- NPI number
- 1235949173
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0101022091 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6721 Springfield Dr
Lorton, VA 22079-3912
Phone: (703) 550-8042
Approximate (ZIP-level) locationGet directions
Mailing address
6721 Springfield Dr
Lorton, VA 22079-3912
Registry dates
- Enumerated
- 2025-01-13
- Last updated
- 2025-01-13
- Certified
- 2025-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.