Provider Demographics
NPI:1013883974
Name:PAOLA PEDIATRICS AND FRIENDS
Entity type:Organization
Organization Name:PAOLA PEDIATRICS AND FRIENDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAOLA
Authorized Official - Middle Name:ANDREA
Authorized Official - Last Name:PORTELA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-968-0220
Mailing Address - Street 1:1909 MALLORY LN STE 203
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2842
Mailing Address - Country:US
Mailing Address - Phone:773-968-0220
Mailing Address - Fax:
Practice Address - Street 1:1909 MALLORY LN STE 203
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2842
Practice Address - Country:US
Practice Address - Phone:773-968-0220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty