Pediatric Pulmonary & Critical Care, Pc
LBN: Pediatric Pulmonary & Critical Care, Pc
Pediatric Pulmonary & Critical Care, Pc is an health care organization with primary practice located at 7910 West Jefferson Blvd. Ste 205, Fort Wayne IN 46804-4159. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is the primary health care specialty.
Pediatric Pulmonary & Critical Care, Pc can be contacted via phone (260) 435-7800, or through Yalamanchali, Chandrashekhar Chowdary via phone (260) 435-7800.
Contact Information
Primary practice address
7910 West Jefferson Blvd. Ste 205
Fort Wayne IN 46804-4159
Phone: (260) 435-7800
Fax: (260) 435-7007
Website:
Authorized official contact:
Name: Yalamanchali, Chandrashekhar Chowdary Doctor of Medicine (MD)
Phone: (260) 435-7800
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | ||
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 01049779A | Indiana |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | ||
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 01049779A | Indiana |
Profile Details
| NPI number | 1225169196 |
|---|---|
| LBN Legal business name | Pediatric Pulmonary & Critical Care, Pc |
| DBA Doing business as | |
| Authorized official | Yalamanchali, Chandrashekhar Chowdary Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Mar 6th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225169196 | NPPES |
| Indiana | MEDICAID | 200246880 | |
| Indiana | MEDICAID | 200231310 | |
| Indiana | MEDICAID | 200500220 |
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