Pediatric Pulmonary & Critical Care, Pc
Pediatric Pulmonology
Pediatric Pulmonary & Critical Care, Pc is a Fort Wayne, Indiana based Pediatric center with medical specialization in
Pediatric Pulmonology.
It is located at
7910 West Jefferson Blvd., Ste 205, Fort Wayne, Indiana - 46804-4159. They can be contacted on phone at
260-435-7800 and fax number 260-435-7007.
NPI number (Unique professional ID) for Pediatric Pulmonary & Critical Care, Pc is
1225169196 which was assigned by NPPES on 09 Mar, 2007 and it was last updated on 06 Mar, 2012.
Pediatric Pulmonary & Critical Care, Pc license number is
01049779A for Pediatrics Pediatric Pulmonology (2080P0214X) in Indiana.
Pediatric Pulmonary & Critical Care, Pc is dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Complete Profile:
Pediatric Pulmonary & Critical Care, Pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Pulmonology |
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| Provider Name : | Pediatric Pulmonary & Critical Care, Pc |
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Business Address:
Pediatric Pulmonary & Critical Care, Pc 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 : | 7910 West Jefferson Blvd., Ste 205
Fort Wayne, IN, 46804-4159
United States |
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| Phone Number : | 260-435-7800 |
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| Fax Number : | 260-435-7007 |
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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 : | 1225169196 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 09 Mar, 2007 |
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| Last Updated On : | 06 Mar, 2012 |
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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 : | Chandrashekharchowdary Yalamanchali |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | OWNER/PRESIDENT |
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| Phone Number : | 260-435-7800 |
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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 Pediatric Pulmonary & Critical Care, Pc are as mentioned. Primary taxonomy code for Pediatric Pulmonary & Critical Care, Pc is
2080P0214X (Pediatrics Pediatric Pulmonology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | 01049779A | IN |
| 208000000X | Pediatrics | No | | |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | | |
| 2080P0214X | Pediatrics Pediatric Pulmonology | No | | |
| 2080P0214X | Pediatrics Pediatric Pulmonology | Yes | 01049779A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Pulmonary & Critical Care, Pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 200231310 | MEDICAID | IN | |
| 200500220 | MEDICAID | IN | |
| 200246880 | MEDICAID | IN | |
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 : | Pmb 218 10214 Chestnut Plaza Drive
Fort Wayne, IN, 46814-8970
United States |
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| Phone Number : | 260-435-7800 |
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| Fax Number : | 260-435-7007 |
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Business Location:
Patients can refer following map for directions to
Pediatric Pulmonary & Critical Care, Pc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.