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Contact Information

UNIVERSITY PEDIATRIC HEMATOLOGY/ONCOLOGY SPECIALISTS, LLC
601 S FLOYD ST
STE. 403
LOUISVILLE, KY40202-1835
 Phone: 502-629-7750
 Fax: 502-629-7784
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for UNIVERSITY PEDIATRIC HEMATOLOGY/ONCOLOGY SPECIALISTS, LLC

NPI Number 1750669966
LBN Legal business name UNIVERSITY PEDIATRIC HEMATOLOGY/ONCOLOGY SPECIALISTS, LLC
Authorized official GERARD RABALAIS - (CHAIRMAN)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2011
Last updated 07/22/2011 - About 15 years ago
Identifiers n/a
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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