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Contact Information

UNIVERSITY PEDIATRIC PULMONARY, LLC
9700 PARK PLAZA AVE
STE 110
LOUISVILLE, KY40241-2286
 Phone: 502-629-8830
 Fax: 502-629-7540
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for UNIVERSITY PEDIATRIC PULMONARY, LLC

NPI # 1649577362
LBN Legal business name UNIVERSITY PEDIATRIC PULMONARY, LLC
Authorized official GERARD RABALAIS - (CHAIRMAN)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2011
Last updated 02/15/2011 - About 15 years ago
Identifiers
IN Medicaid 200998250
KY Medicaid 7100115770
KY Medicaid 710018920
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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