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RAINBOW PEDIATRICS PC NPI 1245311869


NPI Information

NPI: 1245311869
Provider Name: RAINBOW PEDIATRICS PC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
2877 CROOKS RD
SUITE C
TROY, MI
ZIP 48084
Phone: (248) 816-1420
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RAINBOW PEDIATRICS PC is an adolescent medicine pediatrics in Troy, MI. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. RAINBOW PEDIATRICS PC NPI is 1245311869. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2877 CROOKS RD
SUITE C
TROY, MI
ZIP 48084-717
Phone: (248) 816-1420
Fax: (248) 816-0579

The provider's authorized official is Linda R Bolton .
The authorized official title is President and has the following contact phone number (248) 816-1420.

The enumeration date for this NPI number is 10/18/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent Medicine4301043268MICHIGANYes

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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