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PEDIATRIC GASTROENTEROLOGY PROF ASSN NPI 1912182890


NPI Information

NPI: 1912182890
Provider Name: PEDIATRIC GASTROENTEROLOGY PROF ASSN

Doing Business As: PEDIATRIC GAST AND NUTRI ASSOCIATES

Classification: Pediatrics - 2080P0206X
Entity Type: Organization

Specialization: Pediatric Gastroenterology

Address:
3196 S MARYLAND PKWY STE 309
LAS VEGAS, NV
ZIP 89109
Phone: (702) 791-0477
Get Directions

PEDIATRIC GASTROENTEROLOGY PROF ASSN is a pediatric gastroenterology pediatrics in Las Vegas, NV. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. PEDIATRIC GASTROENTEROLOGY PROF ASSN NPI is 1912182890. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Gast And Nutri Associates.

The provider's business location address is:

3196 S MARYLAND PKWY STE 309
LAS VEGAS, NV
ZIP 89109-314
Phone: (702) 791-0477
Fax: (702) 791-6831

The provider's authorized official is Howard I Baron .
The authorized official title is Owner and has the following contact phone number (702) 791-0477.

The enumeration date for this NPI number is 1/9/2008 and was last updated on 8/15/2013.


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
12080P0206XPediatricsPediatric Gastroenterology6739NEVADAYes

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
1F75446MEDICARE UPINNEVADA
2I07260MEDICARE UPINNEVADA
3F11181MEDICARE UPINNEVADA

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

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