Pediatric Medical Group INC

NPI #1689735110 in Huntington, Indiana

Provider Information

NPI Number: 1689735110
Entity Type: Organization
Organization Name: Pediatric Medical Group INC
Primary Specialty: Pediatrics
Enumeration Date: Dec 12, 2006
Last Updated: Feb 19, 2013

Practice Location

Address: 2814 THEATER AVE
City: Huntington
State: Indiana
ZIP Code: 46750-7978
Phone: (260) 356-3611

Authorized Official

Name: DR. PIYUSH J SHAH, MD
Title: PRESIDENT
Phone: (260) 356-3611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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