Pediatric Care Clinic

Pediatrics Physician · Picayune, MS

Organization Active NPI

NPI number 1346476322

Practice location

421 River Rd
Picayune, MS 39466-3160
Phone
(985) 726-2655
Fax
(985) 643-9808

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NPI record

NPI
1346476322
Entity type
Organization (Type 2)
Enumeration date
June 4, 2009
Last updated
June 4, 2009
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 10074 MS

Authorized official

Name
Dr. Ashraf Tabatabaii, MD
Title
Owner
Phone
(985) 726-2655

About Pediatric Care Clinic

Pediatric Care Clinic is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 421 River Rd, Picayune, MS 39466-3160. The NPI number 1346476322 was assigned on June 4, 2009 and the record was last updated on June 4, 2009.

Pediatric Care Clinic lists a license in the registry: #10074 (MS) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Ashraf Tabatabaii, MD, Owner.

Frequently asked questions

What is the NPI number of Pediatric Care Clinic?

The NPI number is 1346476322.

What is the phone number of Pediatric Care Clinic?

The phone number listed for the practice location is (985) 726-2655.

Where is Pediatric Care Clinic located?

421 River Rd, Picayune, MS 39466-3160.

What is the taxonomy code for Pediatric Care Clinic?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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