Provider Demographics
NPI:1487139424
Name:RESTREPO, PABLO F (PA-C/MPH)
Entity type:Individual
Prefix:MR
First Name:PABLO
Middle Name:F
Last Name:RESTREPO
Suffix:
Gender:M
Credentials:PA-C/MPH
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Other - Credentials:
Mailing Address - Street 1:JOHNS HOPKINS BAYVIEW MEDICAL CENTER
Mailing Address - Street 2:4950 EASTERN AVE / BLDG A - 6TH FLOOR
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224
Mailing Address - Country:US
Mailing Address - Phone:410-550-0101
Mailing Address - Fax:410-367-3278
Practice Address - Street 1:JOHNS HOPKINS BAYVIEW MEDICAL CENTER
Practice Address - Street 2:4950 EASTERN AVE / BLDG A - 6TH FLOOR
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224
Practice Address - Country:US
Practice Address - Phone:410-550-0101
Practice Address - Fax:410-367-3278
Is Sole Proprietor?:No
Enumeration Date:2018-09-25
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDC0008490363AS0400X
FLPA9114653363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant