Parkside Pediatric Clinic,p.c.
Pediatrics
Parkside Pediatric Clinic,p.c. is a Jackson, Michigan based Pediatric center with medical specialization in
General Pediatrics.
It is located at
2100 4th St, Jackson, Michigan - 49203-4518. They can be contacted on phone at
517-787-4332 and fax number 517-787-4861.
NPI number (Unique professional ID) for Parkside Pediatric Clinic,p.c. is
1477781169 which was assigned by NPPES on 01 Jul, 2009 and it was last updated on 01 Jul, 2009.
Parkside Pediatric Clinic,p.c. license number is
4301 031905 for Pediatrics (208000000X) in Michigan.
Parkside Pediatric Clinic,p.c. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Parkside Pediatric Clinic,p.c. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Parkside Pediatric Clinic,p.c. |
|---|
Business Address:
Parkside Pediatric Clinic,p.c. 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 : | 2100 4th St
Jackson, MI, 49203-4518
United States |
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| Phone Number : | 517-787-4332 |
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| Fax Number : | 517-787-4861 |
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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 : | 1477781169 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 01 Jul, 2009 |
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| Last Updated On : | 01 Jul, 2009 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Katikineniv Rao |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 517-787-4332 |
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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 Parkside Pediatric Clinic,p.c. are as mentioned. Primary taxonomy code for Parkside Pediatric Clinic,p.c. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301 031905 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Parkside Pediatric Clinic,p.c. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1379549 | MEDICAID | MI | |
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 : | 2100 4th St
Jackson, MI, 49203-4518
United States |
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| Phone Number : | 517-787-4332 |
|---|
| Fax Number : | 517-787-4861 |
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Business Location:
Patients can refer following map for directions to
Parkside Pediatric Clinic,p.c. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.