KISHORE G PATHIAL MD PC; NPI #1285885632

Contact Information

KISHORE G PATHIAL MD PC

2397 NE CUMULUS AVE
MCMINNVILLE, OR 97128-6255

Phone: 503-472-5163
Fax: 503-472-3320
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Sleep Disorder Diagnostic	261QS1200X

Indicates primary specialty

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NPI Profile & details for KISHORE G PATHIAL MD PC

NPI Number 1285885632

LBN Legal business name KISHORE G PATHIAL MD PC

Authorized official KISHORE PATHIAL - (OWNER/PHYSICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/03/2008

Last updated 02/13/2012 - About 14 years ago

Identifiers

OR	License #	6952791
OR	Medicaid	055884

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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