Bettendorf Pediatric Group

LBN: Bettendorf Pediatric Group
Bettendorf Pediatric Group is an health care organization with primary practice located at 4017 Devils Glen Rd Suite 200, Bettendorf IA 52722-7259. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Bettendorf Pediatric Group can be contacted via phone (563) 332-3400, or through Kumar, Pomilla via phone (563) 332-3400.

Contact Information

Primary practice address
4017 Devils Glen Rd Suite 200 Bettendorf IA 52722-7259
Phone: (563) 332-3400
Fax: (563) 332-4784
Website:
Map and Directions
Authorized official contact:
Name: Kumar, Pomilla Doctor of Medicine (MD)
Phone: (563) 332-3400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1942562467
LBN Legal business name Bettendorf Pediatric Group
DBA Doing business as
Authorized official Kumar, Pomilla Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2012
Last updated Jun 11th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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