PEDIATRIC CLINIC
NPI 1649522616
Pediatrics in Middlesboro, KY

Q: What is Pediatric Clinic's NPI number?

The NPI number for Pediatric Clinic is 1649522616. It was assigned to this organization in the NPPES registry on October 15, 2012.

Q: What is Pediatric Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Pediatric Clinic was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 15, 2012

3604 CUMBERLAND AVE, MIDDLESBORO, KY 40965(606) 248-8282(606) 248-0030 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pediatric Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC CLINIC (NPI 1649522616) is a healthcare organization registered as a pediatrics in Middlesboro, Kentucky and active in the NPI registry since October 2012. The organization lists Houshang Khorram, Doctor, as its authorized official.

NPPES Registry Identity

NPI1649522616

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePEDIATRIC CLINIC

Location Address3604 CUMBERLAND AVEMiddlesboro, KY 40965-2614

Mailing Address3604 West Cumberland AvenueMiddlesboro, KY 40965 · (606) 248-8282 · Fax (606) 248-0030

Phone(606) 248-8282

Fax(606) 248-0030

Organization SubpartNo

Authorized OfficialHoushang KhorramDoctor · (606) 248-8282

Enumeration DateOctober 15, 2012

✔ NPI 1649522616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in KY · 164526

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3604 CUMBERLAND AVE, Middlesboro, KY 40965

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Other Identifiers 4

Medicaid005628491VA

Medicaid0095596TN

Medicare UPINC65483KY

Medicaid16526KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Clinic's NPI number?

The NPI number for Pediatric Clinic is 1649522616. It was assigned to this organization in the NPPES registry on October 15, 2012.

Where is Pediatric Clinic located?

Pediatric Clinic is located at 3604 Cumberland Ave, Middlesboro, KY 40965. The listed phone number is (606) 248-8282.

What is Pediatric Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Pediatric Clinic was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.