Pediatric Medical Group Inc

LBN: Pediatric Medical Group Inc
Pediatric Medical Group Inc is an health care organization with primary practice located at 2814 Theater Ave , Huntington IN 46750-7978. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Medical Group Inc can be contacted via phone (260) 356-3611, or through Shah, Piyush J via phone (260) 356-3611.

Contact Information

Primary practice address
2814 Theater Ave Huntington IN 46750-7978
Phone: (260) 356-3611
Fax: (260) 358-4263
Website:
Map and Directions
Authorized official contact:
Name: Shah, Piyush J Doctor of Medicine (MD)
Phone: (260) 356-3611

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1689735110
LBN Legal business name Pediatric Medical Group Inc
DBA Doing business as
Authorized official Shah, Piyush J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Feb 19th, 2013 - about 13 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 1689735110 NPPES
Indiana MEDICAID 100138140A

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