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PEDIATRIC PULMONARY & CRITICAL CARE, PC

Pediatric Pulmonology

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

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Contact Information

PEDIATRIC PULMONARY & CRITICAL CARE, PC
7910 WEST JEFFERSON BLVD.
STE 205
FORT WAYNE, IN  46804-4159
 Phone: 260-435-7800
 Fax: 260-435-7007
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

 2080P0214X 37 Physician/Pediatric Medicine
 

Pediatric Critical Care Medicine

 2080P0203X 37 Physician/Pediatric Medicine
 

Pediatrics

 208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC PULMONARY & CRITICAL CARE, PC

NPI # 1225169196
LBN Legal business name PEDIATRIC PULMONARY & CRITICAL CARE, PC
Authorized official CHANDRASHEKHAR YALAMANCHALI - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/09/2007
Last updated 03/06/2012 - About 14 years ago
Identifiers
IN License # 01049779A
IN Medicaid 200231310
IN Medicaid 200246880
IN Medicaid 200500220
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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