PEDIATRIC SPECIALISTS LLC NPI 1184789364

NPI Information

  • NPI: 1184789364
  • Provider Name: PEDIATRIC SPECIALISTS LLC
  • Classification: Pediatrics - 2080P0206X
  • Specialization: Pediatric Gastroenterology
  • Entity Type: Organization
  • Address: 505 KLUTEY PARK PLAZA DR
    HENDERSON, KY
    ZIP 42420
  • Phone: (270) 830-0313

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NPI Details

PEDIATRIC SPECIALISTS LLC is a pediatric gastroenterology pediatrics in Henderson, 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. PEDIATRIC SPECIALISTS LLC NPI is 1184789364. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

505 KLUTEY PARK PLAZA DR
HENDERSON, KY
ZIP 42420-224
Phone: (270) 830-0313
Fax: (270) 830-7117

The provider's authorized official is Iyad Aljabi .
The authorized official title is Prestident and has the following contact phone number (270) 830-0313.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 9/11/2025.

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
12080N0001XPediatricsNeonatal-Perinatal Medicine27411KENTUCKYNo
22080P0206XPediatricsPediatric Gastroenterology27410KENTUCKYYes

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: 11/21/2025

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