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PEDIATRIC PULMONARY MEDICINE PSC NPI 1033270434


NPI Information

NPI: 1033270434
Provider Name: PEDIATRIC PULMONARY MEDICINE, PSC
Classification: Pediatrics - 2080P0214X
Entity Type: Organization

Specialization: Pediatric Pulmonology

Address:
234 EAST GRAY STREET
SUITE 270
LOUISVILLE, KY
ZIP 40202
Phone: (502) 852-3772
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PEDIATRIC PULMONARY MEDICINE, PSC is a pediatric pulmonology pediatrics in Louisville, KY. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. PEDIATRIC PULMONARY MEDICINE, PSC NPI is 1033270434. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

234 EAST GRAY STREET
SUITE 270
LOUISVILLE, KY
ZIP 40202
Phone: (502) 852-3772
Fax: (502) 852-4051

The provider's authorized official is Nemr Eid .
The authorized official title is Owner Of Practice and has the following contact phone number (502) 852-3772.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0214XPediatricsPediatric Pulmonology25574KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11050575OTHERKENTUCKYPASSPORT GROUP NUMBER
265921991MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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