Perry Kids Pediatrics

LBN: Perry Kids Pediatrics
Perry Kids Pediatrics is an health care organization with primary practice located at 210 Hospital Ln , Perryville MO 63775-1276. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Toxicology, which is considered as the primary health care specialty. Perry Kids Pediatrics can be contacted via phone (573) 517-0999, or through Kanani, Bhargav M via phone (573) 517-0999.

Contact Information

Primary practice address
210 Hospital Ln Perryville MO 63775-1276
Phone: (573) 517-0999
Fax: (573) 517-0812
Website:
Map and Directions
Authorized official contact:
Name: Kanani, Bhargav M Doctor of Medicine (MD)
Phone: (573) 517-0999

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Toxicology 2080T0002X MO105937 Missouri

Profile Details

NPI number 1417123761
LBN Legal business name Perry Kids Pediatrics
DBA Doing business as
Authorized official Kanani, Bhargav M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2008
Last updated May 7th, 2008 - about 16 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 1417123761 NPPES
Missouri MEDICAID 599297306

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