National Provider Identifier Database

GATEWAY PEDIATRICS PLLC
Health Service


Contact Information

GATEWAY PEDIATRICS PLLC
655 S DOBSON RD
B218
CHANDLER, AZ85224-5667
Phone: 480-963-6668
Fax: 480-963-6669
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for GATEWAY PEDIATRICS PLLC

NPI Number 1861449357
Legal business name
LBN
GATEWAY PEDIATRICS PLLC
Authorized official SUDHA CHANDRASEKHAR - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/28/2006
Last updated 02/26/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 649494

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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