University Pediatrics Infectious Diseases, Llc

LBN: University Pediatrics Infectious Diseases, Llc
University Pediatrics Infectious Diseases, Llc is an health care organization with primary practice located at 210 E Gray St Suite 802, Louisville KY 40202-3904. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is the primary health care specialty. University Pediatrics Infectious Diseases, Llc can be contacted via phone (502) 852-8632, or through Rabalais, Gerard P via phone (502) 852-8500.

Contact Information

Primary practice address
210 E Gray St Suite 802 Louisville KY 40202-3904
Phone: (502) 852-8632
Fax: (502) 852-3939
Website:
Map and Directions
Authorized official contact:
Name: Rabalais, Gerard P Doctor of Medicine (MD)
Phone: (502) 852-8500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1255467239
LBN Legal business name University Pediatrics Infectious Diseases, Llc
DBA Doing business as
Authorized official Rabalais, Gerard P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Dec 7th, 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 1255467239 NPPES
Indiana MEDICAID 200890640A
Indiana MEDICAID 7100013510

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