Dell Range Pediatrics
LBN: Laramie Pediatrics/Laramie Internal Medicine Pc
Dell Range Pediatrics is an health care organization with primary practice located at 1252 N. 22Nd Street Suite B, Laramie WY 82072. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Medical Specialty. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Laramie Pediatrics/Laramie Internal Medicine Pc can be contacted via phone (307) 745-3704, or through Koduri, Vijaya Madhavi via phone (307) 365-8789.
Contact Information
Primary practice address
1252 N. 22Nd Street Suite B
Laramie WY 82072
Phone: (307) 745-3704
Fax:
Website:
Authorized official contact:
Name: Koduri, Vijaya Madhavi Doctor of Medicine (MD)
Phone: (307) 365-8789
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | Wyoming |
Profile Details
| NPI number | 1205386281 |
|---|---|
| LBN Legal business name | Laramie Pediatrics/Laramie Internal Medicine Pc |
| DBA Doing business as | Dell Range Pediatrics |
| Authorized official | Koduri, Vijaya Madhavi Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 13th, 2016 |
| Last updated | Mar 5th, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205386281 | NPPES |
| Wyoming | MEDICAID | 1558672253 |
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