Provider Demographics
NPI:1144374737
Name:VENIDA, VICTORIA GAHOL (MD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:GAHOL
Last Name:VENIDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8700 CENTRAL AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4831
Mailing Address - Country:US
Mailing Address - Phone:301-350-0044
Mailing Address - Fax:301-350-8007
Practice Address - Street 1:8700 CENTRAL AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-4831
Practice Address - Country:US
Practice Address - Phone:301-350-0044
Practice Address - Fax:301-350-8007
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0027190208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics