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UNIVERSITY PEDIATRIC GASTROENTEROLOGY LLC NPI 1033366091


NPI Information

NPI: 1033366091
Provider Name: UNIVERSITY PEDIATRIC GASTROENTEROLOGY, LLC
Classification: Pediatrics - 2080P0206X
Entity Type: Organization

Specialization: Pediatric Gastroenterology

Address:
210 E GRAY STREET
STE 802
LOUISVILLE, KY
ZIP 40202
Phone: (502) 852-7670
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UNIVERSITY PEDIATRIC GASTROENTEROLOGY, LLC is a pediatric gastroenterology pediatrics in Louisville, KY. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. UNIVERSITY PEDIATRIC GASTROENTEROLOGY, LLC NPI is 1033366091. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

210 E GRAY STREET
STE 802
LOUISVILLE, KY
ZIP 40202-904
Phone: (502) 852-7670

The provider's authorized official is Gerard P. Rabalais .
The authorized official title is President and has the following contact phone number (502) 852-8600.

The enumeration date for this NPI number is 8/21/2008 and was last updated on 8/20/2009.


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
12080P0206XPediatricsPediatric GastroenterologyYes

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
17100063520MEDICAIDKENTUCKY
2200945670AMEDICAIDINDIANA
300992MEDICARE PINKENTUCKY

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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