Southeast Children'S Urology

LBN: Novant Medical Group, Inc.
Southeast Children'S Urology is an health care organization with primary practice located at 16525 Holly Crest Ln Suite 230, Huntersville NC 28078-4909. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as the primary health care specialty. Novant Medical Group, Inc. can be contacted via phone (704) 316-5140, or through Pai, Dinesh S via phone (704) 384-9104.

Contact Information

Primary practice address
16525 Holly Crest Ln Suite 230 Huntersville NC 28078-4909
Phone: (704) 316-5140
Fax: (704) 316-5145
Website:
Map and Directions
Authorized official contact:
Name: Pai, Dinesh S
Phone: (704) 384-9104

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X North Carolina

Profile Details

NPI number 1881707487
LBN Legal business name Novant Medical Group, Inc.
DBA Doing business as Southeast Children'S Urology
Authorized official Pai, Dinesh S
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2006
Last updated Aug 18th, 2008 - about 18 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 1881707487 NPPES
South Carolina MEDICAID NPB185
South Carolina MEDICAID 5904654
South Carolina Other 018J1

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