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 | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | | |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of University Pediatric Gastroenterology, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 200945670 | MEDICAID | IN | |
| 7100063520 | MEDICAID | KY | |
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.