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RAINBOW PEDIATRIC CLINIC LLC NPI 1144465147


NPI Information

NPI: 1144465147
Provider Name: RAINBOW PEDIATRIC CLINIC, LLC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 11D1058072

Address:
1670 BUFORD HWY
CUMMING, GA
ZIP 30041
Phone: (770) 781-1606
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RAINBOW PEDIATRIC CLINIC, LLC is an adolescent medicine pediatrics in Cumming, GA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. RAINBOW PEDIATRIC CLINIC, LLC NPI is 1144465147. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1670 BUFORD HWY
CUMMING, GA
ZIP 30041-585
Phone: (770) 781-1606

The provider's authorized official is Aarti Ganju Raina .
The authorized official title is Owner and has the following contact phone number (770) 781-1606.

The CLIA number assigned to this NPI record is 11D1058072 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2008 and was last updated on 12/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent Medicine45591GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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