Dr Mia Farida Mediana Pingul, MD - Pediatrics in Fairfax, VA

Dr Mia Farida Mediana Pingul, MD is a Pediatrics - Pediatric Endocrinology physician based in Fairfax, Virginia. Dr Mia Farida Mediana Pingul is licensed to practice in Virginia (license number 0101258508) and her current practice location is 3023 Hamaker Ct, Suite 600, Fairfax, Virginia. She can be reached at her office (for appointments etc.) via phone at (703) 876-2788.

NPI number for Dr Mia Farida Mediana Pingul is 1851419857 and her current mailing address is 3023 Hamaker Ct, Suite 600, Fairfax, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851419857.

Contact Information

Dr Mia Farida Mediana Pingul, MD
3023 Hamaker Ct, Suite 600,
Fairfax, VA 22031-2207
(703) 876-2788
Not Available

Map and Direction




Physician's Profile

Full NameDr Mia Farida Mediana Pingul
GenderFemale
SpecialityPediatrics - Pediatric Endocrinology
Location3023 Hamaker Ct, Fairfax, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1851419857
  • Provider Enumeration Date: 03/27/2007
  • Last Update Date: 12/29/2016

Medical Identifiers

Medical identifiers for Dr Mia Farida Mediana Pingul such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851419857NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0205XPediatrics - Pediatric Endocrinology 0101258508 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mia Farida Mediana Pingul is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mia Farida Mediana Pingul, MD
3023 Hamaker Ct, Suite 600,
Fairfax, VA 22031-2207

Ph: (703) 876-2788
Dr Mia Farida Mediana Pingul, MD
3023 Hamaker Ct, Suite 600,
Fairfax, VA 22031-2207

Ph: (703) 876-2788

Reviews and Comments


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