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SPECIALTY PEDIATRICS LT NPI 1467779355


NPI Information

NPI: 1467779355
Provider Name: SPECIALTY PEDIATRICS LT
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
2851 S AVE B
STE B
YUMA, AZ
ZIP 85364
Phone: (928) 726-3009
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SPECIALTY PEDIATRICS LT is a medical specialty clinic center in Yuma, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SPECIALTY PEDIATRICS LT NPI is 1467779355. The provider is registered as an organization entity type.

The provider's business location address is:

2851 S AVE B
STE B
YUMA, AZ
ZIP 85364-726
Phone: (928) 726-3009
Fax: (928) 726-3019

The provider's authorized official is Moinuddin H Mokhashi .
The authorized official title is Member and has the following contact phone number (928) 726-3009.

The enumeration date for this NPI number is 5/1/2010 and was last updated on 5/1/2010.


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
1261QM2500XClinic/CenterMedical Specialty34699ARIZONAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.