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VARIETY CHILDRENS HOSPITAL NPI 1669632105


NPI Information

NPI: 1669632105
Provider Name: VARIETY CHILDRENS HOSPITAL

Doing Business As: MCH RADIOLOGY

Classification: Radiology - 2085P0229X
Entity Type: Organization

Specialization: Pediatric Radiology

Address:
3601 NW 107TH AVE
DORAL, FL
ZIP 33178
Phone: (768) 624-3675
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VARIETY CHILDRENS HOSPITAL is a pediatric radiology radiology in Doral, FL. The provider is a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. VARIETY CHILDRENS HOSPITAL NPI is 1669632105. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mch Radiology.

The provider's business location address is:

3601 NW 107TH AVE
DORAL, FL
ZIP 33178-377
Phone: (768) 624-3675

The provider's authorized official is Timothy Birkenstock .
The authorized official title is Senior Vp & Cfo and has the following contact phone number (305) 669-6422.

The enumeration date for this NPI number is 6/9/2008 and was last updated on 10/29/2014.


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
12085P0229XRadiologyPediatric RadiologyYes

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
1256985003MEDICAIDFLORIDA
2K9791MEDICARE PINFLORIDA

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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