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Contact Information

KISHORE G. PATHIAL, M.D., P.C.
2397 NE CUMULUS AVE.
MCMINNVILLE, OR97128-6255
 Phone: 503-472-5163
 Fax: 503-472-5163
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KISHORE G. PATHIAL, M.D., P.C.

NPI Number 1003008665
LBN Legal business name KISHORE G. PATHIAL, M.D., P.C.
Authorized official KISHORE PATHIAL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2007
Last updated 07/31/2013 - About 13 years ago
Identifiers
OR License # 094006411N3 ANP-PP
OR License # 695279-1
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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