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NAKI PEDIATRICS & ADOLESCENT NPI 1508047697


NPI Information

NPI: 1508047697
Provider Name: NAKI PEDIATRICS & ADOLESCENT
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 01D0963893

Address:
410 BAY ST
GADSDEN, AL
ZIP 35901
Phone: (256) 543-0111
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NAKI PEDIATRICS & ADOLESCENT is an adolescent medicine pediatrics in Gadsden, AL. 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. NAKI PEDIATRICS & ADOLESCENT NPI is 1508047697. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

410 BAY ST
GADSDEN, AL
ZIP 35901-108
Phone: (256) 543-0111
Fax: (256) 543-2907

The provider's authorized official is Christopher Kirya .
The authorized official title is President and has the following contact phone number (256) 543-0111.

The CLIA number assigned to this NPI record is 01D0963893 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2007 and was last updated on 7/14/2008.


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
12080A0000XPediatricsAdolescent Medicine8282ALABAMAYes

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
1529902470MEDICAIDALABAMA
251020868OTHERALABAMABCBS

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

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.