Pediatric Care Clinic

LBN: Pediatric Care Clinic
Pediatric Care Clinic is an health care organization with primary practice located at 421 River Rd , Picayune MS 39466-3160. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Care Clinic can be contacted via phone (985) 726-2655, or through Tabatabaii, Ashraf via phone (985) 726-2655.

Contact Information

Primary practice address
421 River Rd Picayune MS 39466-3160
Phone: (985) 726-2655
Fax: (985) 643-9808
Website:
Map and Directions
Authorized official contact:
Name: Tabatabaii, Ashraf Doctor of Medicine (MD)
Phone: (985) 726-2655

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10074 Mississippi

Profile Details

NPI number 1346476322
LBN Legal business name Pediatric Care Clinic
DBA Doing business as
Authorized official Tabatabaii, Ashraf Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2009
Last updated Jun 4th, 2009 - about 17 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 1346476322 NPPES
Mississippi MEDICAID 09015403

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