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UNIVERSITY PEDIATRIC PULMONARY, LLC

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

UNIVERSITY PEDIATRIC PULMONARY, LLC
234 E. GRAY ST.
STE. 270
LOUISVILLE, KY  40202-1903
 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 Number 1891026035
LBN Legal business name UNIVERSITY PEDIATRIC PULMONARY, LLC
Authorized official GERARD RABALAIS - (CHAIRMAN)
Entity Organization
Organization subpart 1 No
Enumeration date 01/28/2010
Last updated 12/13/2010 - About 15 years ago
Identifiers
IN Medicaid 200998250A
KY Medicaid 7100115770
KY Medicaid 7100118920
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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