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Contact Information

PEDIATRIC CARDIOLOGY, P.C.
330 LAUREL ST
SUITE 2200
DES MOINES, IA50314-3034
 Phone: 515-288-1097
 Fax: 515-288-2847
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC CARDIOLOGY, P.C.

NPI # 1083696793
LBN Legal business name PEDIATRIC CARDIOLOGY, P.C.
Authorized official BASAVIAH CHANDRAMOULI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
IA Medicaid 0183046
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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