1710776190 NPI number — MR. PEDRO HENRIQUE FARIAS FIGUEIROA M.D.

Table of content: MR. PEDRO HENRIQUE FARIAS FIGUEIROA M.D. (NPI 1710776190)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710776190 NPI number — MR. PEDRO HENRIQUE FARIAS FIGUEIROA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FIGUEIROA
Provider First Name:
PEDRO
Provider Middle Name:
HENRIQUE FARIAS
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
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Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710776190
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/02/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
SHIN QI 9 CONJUNTO 9
Provider Second Line Business Mailing Address:
CASA 18
Provider Business Mailing Address City Name:
BRASILIA
Provider Business Mailing Address State Name:
DISTRITO FEDERAL
Provider Business Mailing Address Postal Code:
71515
Provider Business Mailing Address Country Code:
BR
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1600 MEDICAL CENTER DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNTINGTON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-691-1086
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/02/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
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Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)