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MILLINGTON PEDIATRICS PC NPI 1457590192


NPI Information

NPI: 1457590192
Provider Name: MILLINGTON PEDIATRICS, PC
Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

CLIA Number: 44D1095394

Address:
8222 US HIGHWAY 51 N
MILLINGTON, TN
ZIP 38053
Phone: (901) 873-0700
Get Directions

MILLINGTON PEDIATRICS, PC is a neonatal-perinatal medicine pediatrics in Millington, TN. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. MILLINGTON PEDIATRICS, PC NPI is 1457590192. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8222 US HIGHWAY 51 N
MILLINGTON, TN
ZIP 38053-708
Phone: (901) 873-0700
Fax: (901) 873-0711

The provider's authorized official is Abubaker M Naida .
The authorized official title is Owner and has the following contact phone number (901) 873-0700.

The CLIA number assigned to this NPI record is 44D1095394 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2009 and was last updated on 2/19/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080N0001XPediatricsNeonatal-Perinatal Medicine40393TENNESSEEYes

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
1466407OTHERTENNESSEEBCBS

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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