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Contact Information

TRIANGLE CHILDREN'S GASTROENTEROLOGY CENTER,PLLC
103 PARKWAY OFFICE CT
SUITE 104
CARY, NC27518-7428
 Phone: 919-677-8577
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TRIANGLE CHILDREN'S GASTROENTEROLOGY CENTER,PLLC

NPI Number 1215164355
LBN Legal business name TRIANGLE CHILDREN'S GASTROENTEROLOGY CENTER,PLLC
Authorized official LEENA KANDULA - (PEDIATRIC GASTROENTEROLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/16/2009
Last updated 12/18/2012 - About 13 years ago
Identifiers
NC License # 2007-00741
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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