Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elmer C San Pedro, MD

Individual provider Diagnostic Radiology Physician · NPI 1174532535

Elmer C San Pedro, MD is a Diagnostic Radiology in South Boston, Virginia. Qualified in 1988, 38 years ago. Practices with Granville Health System, a 80-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
38
Licensed in
VA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2204 Wilborn Ave
South Boston, VA 24592-1645
Phone: (434) 517-3187
Fax: (434) 517-3686
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0101232533 (VA)

Record details

NPI number1174532535
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 5, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Granville Health System — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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