Pediatric Pulmonary & Critical Care, Pc in Fort Wayne - Pediatric Critical Care Medicine
Pediatric Pulmonary & Critical Care, Pc - NPI 1225169196
Pediatric Pulmonary & Critical Care, Pc is a Pediatric Critical Care Medicine in Fort Wayne, Indiana. Pediatric Pulmonary & Critical Care, Pc practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Pediatric Pulmonary & Critical Care, Pc is 1225169196. The last update date is 2012-03-06.
Pediatric Pulmonary & Critical Care, Pc's current location address is Pmb 218 10214 Chestnut Plaza Drive, Fort Wayne, Indiana. You can contact this provider via phone number 2604357800 and fax number 2604357007. The mailing address for Pediatric Pulmonary & Critical Care, Pc is Pmb 218 10214 Chestnut Plaza Drive, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Pulmonary & Critical Care, Pc |
|---|---|
| Address | Pmb 218 10214 Chestnut Plaza Drive, Fort Wayne, Indiana |
| Phone Number | 2604357800 |
| Fax Number | 2604357007 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Yalamanchali Chowdary Chandrashekhar |
| Credentials | M.D. |
| Telephone Number | 2604357800 |
NPI Number Detail
| NPI Number | 1225169196 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2012-03-06 |
Provider Mailing Address Detail
| Address | Pmb 218 10214 Chestnut Plaza Drive |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468148970 |
| Phone Number | 2604357800 |
| Fax Number | 2604357007 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
|
Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200246880 | IN | -- | |
| 200231310 | IN | -- | |
| 200500220 | IN | -- |
Post Comment/ Review Below
What is the Pediatric Pulmonary & Critical Care, Pc's 1225169196?
The Pediatric Pulmonary & Critical Care, Pc's NPI (National Provider Identifier) Number is 1225169196. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Pediatric Pulmonary & Critical Care, Pc is located?
The Pediatric Pulmonary & Critical Care, Pc is situated at the following address: Pmb 218 10214 Chestnut Plaza Drive, Fort Wayne, IN, 468148970.
What is the area of specialization for Pediatric Pulmonary & Critical Care, Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pediatric Pulmonary & Critical Care, Pc is Pediatric Critical Care Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080P0203X.
On what date did the Pediatric Pulmonary & Critical Care, Pc receive its 1225169196 assignment from the Centers for Medicare & Medicaid Services?
The Pediatric Pulmonary & Critical Care, Pc was assigned its 1225169196 by the Centers for Medicare & Medicaid Services on 2007-03-09.
When was the information regarding Pediatric Pulmonary & Critical Care, Pc most recently updated?
The details pertaining to the Pediatric Pulmonary & Critical Care, Pc, including its address, specialty, and other relevant information, were last refreshed on 2012-03-06.