University Pediatric Gastroenterology, Llc

Pediatric Gastroenterology

University Pediatric Gastroenterology, Llc is a Bowling Green, Kentucky based Pediatric center with medical specialization in Pediatric Gastroenterology. It is located at 720 2nd St, Ste 102, Bowling Green, Kentucky - 42101-1778. They can be contacted on phone at 502-852-7670 and fax number 502-852-7743.
NPI number (Unique professional ID) for University Pediatric Gastroenterology, Llc is 1487953311 which was assigned by NPPES on 17 Mar, 2011 and it was last updated on 05 Apr, 2011.
University Pediatric Gastroenterology, Llc specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
University Pediatric Gastroenterology, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics Pediatric Gastroenterology
Provider Name :University Pediatric Gastroenterology, Llc
Business Address:
University Pediatric Gastroenterology, Llc 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 :720 2nd St, Ste 102
Bowling Green, KY, 42101-1778
United States
Phone Number :502-852-7670
Fax Number :502-852-7743
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 : 1487953311
NPI Entity Type : Organization
First Enrolment Date : 17 Mar, 2011
Last Updated On : 05 Apr, 2011
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 :Gerardp Rabalais
Authorized Official Credential :MD
Official Title or Position :CHAIRMAN
Phone Number :502-852-8600
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 University Pediatric Gastroenterology, Llc are as mentioned. Primary taxonomy code for University Pediatric Gastroenterology, Llc is 2080P0206X (Pediatrics Pediatric Gastroenterology).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsNo
2080P0206XPediatrics Pediatric GastroenterologyYes
Legacy Identifiers:
Other legacy medical identifiers of University Pediatric Gastroenterology, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
200945670MEDICAIDIN
7100063520MEDICAIDKY
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 :Po Box 2469
Louisville, KY, 40201-2469
United States
Phone Number :502-852-8500
Fax Number :502-852-8556
Business Location:
Patients can refer following map for directions to University Pediatric Gastroenterology, Llc 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.