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PUROHIT PEDIATRIC CLINIC LLC NPI 1790971166


NPI Information

NPI: 1790971166
Provider Name: PUROHIT PEDIATRIC CLINIC, LLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 01D1011038

Address:
516 QUINTARD AVE
ANNISTON, AL
ZIP 36201
Phone: (256) 741-9799
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PUROHIT PEDIATRIC CLINIC, LLC is a specialist in Anniston, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PUROHIT PEDIATRIC CLINIC, LLC NPI is 1790971166. The provider is registered as an organization entity type.

The provider's business location address is:

516 QUINTARD AVE
ANNISTON, AL
ZIP 36201-754
Phone: (256) 741-9799
Fax: (256) 741-9795

The provider's authorized official is Naresh Purohit .
The authorized official title is Owner/md and has the following contact phone number (256) 741-9799.

The CLIA number assigned to this NPI record is 01D1011038 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 6/8/2011.


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
1261Q00000XClinic/Center00015626ALABAMANo
2174400000XSpecialist00015626ALABAMAYes

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
1559914700MEDICAIDALABAMA

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

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