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ASTHMA AND ALLERGY CLINIC P.A. NPI 1093812612


NPI Information

NPI: 1093812612
Provider Name: ASTHMA AND ALLERGY CLINIC, P.A.
Classification: Internal Medicine - 207RA0201X
Entity Type: Organization

Specialization: Allergy & Immunology

Address:
2687 JENKS AVE
PANAMA CITY, FL
ZIP 32405
Phone: (850) 747-3665
Get Directions

ASTHMA AND ALLERGY CLINIC, P.A. is an allergy and immunology internal medicine in Panama City, FL. The provider is an internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. ASTHMA AND ALLERGY CLINIC, P.A. NPI is 1093812612. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2687 JENKS AVE
PANAMA CITY, FL
ZIP 32405-351
Phone: (850) 747-3665

The provider's authorized official is Geeta Khare .
The authorized official title is President and has the following contact phone number (850) 747-3665.

The enumeration date for this NPI number is 9/17/2006 and was last updated on 11/5/2012.


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
1207KA0200XAllergy & ImmunologyAllergyNo
2207R00000XInternal MedicineNo
3207RA0201XInternal MedicineAllergy & ImmunologyYes

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
1F58393MEDICARE UPINFLORIDA
2267727000MEDICAIDFLORIDA
313681MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

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: 11/14/2023

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