<Unavail>

LBN: Mayfield Pediatric Clinic Pllc
<Unavail> is an health care organization with primary practice located at 417 S 6Th St , Mayfield KY 42066. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Mayfield Pediatric Clinic Pllc can be contacted via phone (270) 247-1104, or through Hussain, Abid via phone (270) 247-1104.

Contact Information

Primary practice address
417 S 6Th St Mayfield KY 42066
Phone: (270) 247-1104
Fax: (270) 247-1107
Website:
Map and Directions
Authorized official contact:
Name: Hussain, Abid Doctor of Medicine (MD)
Phone: (270) 247-1104

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41115 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 41115 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X 41115 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1205079134
LBN Legal business name Mayfield Pediatric Clinic Pllc
DBA Doing business as <Unavail>
Authorized official Hussain, Abid Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2009
Last updated Jul 19th, 2018 - about 8 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 1205079134 NPPES
Kentucky MEDICAID 7100059060

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