Iyalla Peterside
MD | Pediatric Neonatal-Perinatal Medicine | Male
Iyalla Peterside, MD is a Philadelphia, Pennsylvania based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Iyalla Peterside is
3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Neonatology, Philadelphia, Pennsylvania - 19104-4319. He can be contacted on phone at
215-590-1944 and fax number 215-590-4454.
Iyalla Peterside is a sole proprietor of his business.
NPI number (Unique professional ID) for Iyalla Peterside is
1699710178 which was assigned by NPPES on 18 Jun, 2006 and it was last updated on 20 Apr, 2015.
Iyalla Peterside license number is
MD067897L for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Pennsylvania.
Iyalla Peterside is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Iyalla Peterside basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Iyalla Peterside |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Iyalla Peterside address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Neonatology
Philadelphia, PA, 19104-4319
United States |
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| Phone Number : | 215-590-1944 |
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| Fax Number : | 215-590-4454 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1699710178 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Jun, 2006 |
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| Last Updated On : | 20 Apr, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Iyalla Peterside are as mentioned. Primary taxonomy code for Iyalla Peterside, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD067897L | PA |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | MD067897L | PA |
Legacy Identifiers:
Other legacy medical identifiers of Iyalla Peterside such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0017940000004 | MEDICAID | PA | |
| 8183007 | MEDICAID | NJ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 100 E Penn Sq, 9th Fl
Philadelphia, PA, 19107-3323
United States |
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| Phone Number : | 267-425-9258 |
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| Fax Number : | 267-425-9299 |
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Business Location:
Patients can refer following map for directions to
Iyalla Peterside practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.