KIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE; NPI #1154810224

Contact Information

KIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE

119 STEPHEN J WHITE MEMORIAL BLVD
TALLADEGA, AL 35160-2106

Phone: 256-268-7775
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adolescent Medicine	2080A0000X	37	Physician/Pediatric Medicine

Indicates primary specialty

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NPI Profile & details for KIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE

NPI Number 1154810224

LBN Legal business name KIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE

Authorized official MUHAMMED SIDDIQUI - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/04/2018

Last updated 09/26/2023 - About 3 years ago

Identifiers

AL	Medicaid	000032739
	Other	G50661	UPIN

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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KIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE

Contact Information

Specialty

Adolescent Medicine

NPI Profile & details for KIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE

Reviews for KIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE