National Provider Identifier Database

KIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE
Adolescent Medicine

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.


Contact Information

KIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE
119 STEPHEN J WHITE MEMORIAL BLVD
TALLADEGA, AL35160-2106
Phone: 256-268-7775
Fax:
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for KIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE

NPI Number 1154810224
Legal business name
LBN
KIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE
Authorized official MUHAMMED SIDDIQUI - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/04/2018
Last updated 09/26/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • AL Medicaid: 000032739
  • Other: G50661 UPIN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for KIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE

There are currently no reviews for KIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE


NPIdb - Home
v2.201