University Pediatric Gastroenterology, Llc
LBN: University Pediatric Gastroenterology, Llc
University Pediatric Gastroenterology, Llc is an health care organization with primary practice located at 210 E Gray Street Ste 802, Louisville KY 40202-3904. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as the primary health care specialty.
University Pediatric Gastroenterology, Llc can be contacted via phone (502) 852-7670, or through Rabalais, Gerard P. via phone (502) 852-8600.
Contact Information
Primary practice address
210 E Gray Street Ste 802
Louisville KY 40202-3904
Phone: (502) 852-7670
Fax:
Website:
Authorized official contact:
Name: Rabalais, Gerard P. Doctor of Medicine (MD)
Phone: (502) 852-8600
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X |
Profile Details
| NPI number | 1033366091 |
|---|---|
| LBN Legal business name | University Pediatric Gastroenterology, Llc |
| DBA Doing business as | |
| Authorized official | Rabalais, Gerard P. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 21st, 2008 |
| Last updated | Aug 20th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033366091 | NPPES |
| Indiana | MEDICAID | 200945670A | |
| Indiana | MEDICAID | 7100063520 |
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