Roxana Gabriella Bantle

MD | Pediatrics | Female

Roxana Gabriella Bantle, MD is a Midlothian, Virginia based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Roxana Gabriella Bantle is 13700 St Francis Blvd, Ste 501, Midlothian, Virginia - 23114-3222. She can be contacted on phone at 804-378-4420 and fax number 804-378-4440. Roxana Gabriella Bantle is a sole proprietor of her business.
NPI number (Unique professional ID) for Roxana Gabriella Bantle is 1417906801 which was assigned by NPPES on 10 May, 2006 and it was last updated on 01 May, 2008. Roxana Gabriella Bantle license number is 0101240121 for Pediatrics (208000000X) in Virginia.
Roxana Gabriella Bantle is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Roxana Gabriella Bantle basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Roxana Gabriella Bantle
Credential :MD
Gender :Female
Business Address:
Roxana Gabriella Bantle address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :13700 St Francis Blvd, Ste 501
Midlothian, VA, 23114-3222
United States
Phone Number :804-378-4420
Fax Number :804-378-4440
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1417906801
NPI Entity Type : Individual
First Enrolment Date : 10 May, 2006
Last Updated On : 01 May, 2008
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Roxana Gabriella Bantle are as mentioned. Primary taxonomy code for Roxana Gabriella Bantle, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes0101240121VA
Legacy Identifiers:
Other legacy medical identifiers of Roxana Gabriella Bantle such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
010294568MEDICAIDVA
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :10519 Brightstone Dr
Midlothian, VA, 23112-1570
United States
Phone Number :804-378-4420
Fax Number :804-378-4440
Business Location:
Patients can refer following map for directions to Roxana Gabriella Bantle practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.