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WARSAW MEDICAL GROUP NPI 1639384001


NPI Information

NPI: 1639384001
Provider Name: WARSAW MEDICAL GROUP
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2219 DUBOIS DR
WARSAW, IN
ZIP 46580
Phone: (574) 269-3420
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WARSAW MEDICAL GROUP is a pediatrics in Warsaw, IN. The provider is a pediatrician 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. WARSAW MEDICAL GROUP NPI is 1639384001. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2219 DUBOIS DR
WARSAW, IN
ZIP 46580-212
Phone: (574) 269-3420
Fax: (574) 269-2234

The provider's authorized official is Kishan T Kishan .
The authorized official title is Partner and has the following contact phone number (574) 269-3420.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 3/4/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery01036480INDIANANo
2208000000XPediatrics01034706AINDIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1459310MEDICARE PININDIANA

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: 5/5/2024

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