Gateway Pediatrics Pllc

LBN: Gateway Pediatrics Pllc
Gateway Pediatrics Pllc is an health care organization with primary practice located at 655 S Dobson Rd B218, Chandler AZ 85224-5667. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Gateway Pediatrics Pllc can be contacted via phone (480) 963-6668, or through Chandrasekhar, Sudha via phone (480) 963-6668.

Contact Information

Primary practice address
655 S Dobson Rd B218 Chandler AZ 85224-5667
Phone: (480) 963-6668
Fax: (480) 963-6669
Website:
Map and Directions
Authorized official contact:
Name: Chandrasekhar, Sudha Doctor of Medicine (MD)
Phone: (480) 963-6668

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1861449357
LBN Legal business name Gateway Pediatrics Pllc
DBA Doing business as
Authorized official Chandrasekhar, Sudha Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated Feb 26th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861449357 NPPES
Arizona MEDICAID 649494

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