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Contact Information

UNIVERSITY PEDIATRICS INFECTIOUS DISEASES, LLC
210 E GRAY ST
SUITE 802
LOUISVILLE, KY40202-3904
 Phone: 502-852-8632
 Fax: 502-852-3939
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for UNIVERSITY PEDIATRICS INFECTIOUS DISEASES, LLC

NPI Number 1255467239
LBN Legal business name UNIVERSITY PEDIATRICS INFECTIOUS DISEASES, LLC
Authorized official GERARD RABALAIS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2007
Last updated 12/07/2009 - About 17 years ago
Identifiers
IN Medicaid 200890640A
KY Medicaid 7100013510
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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