Provider Demographics
NPI:1912074675
Name:CHILDREN'S CHOICE PEDIATRICS
Entity Type:Organization
Organization Name:CHILDREN'S CHOICE PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D
Authorized Official - Prefix:
Authorized Official - First Name:KARIM
Authorized Official - Middle Name:ZOOL
Authorized Official - Last Name:KHANBHAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-381-0066
Mailing Address - Street 1:37 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WEST WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893-4927
Mailing Address - Country:US
Mailing Address - Phone:401-381-0066
Mailing Address - Fax:401-381-0068
Practice Address - Street 1:37 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893-4927
Practice Address - Country:US
Practice Address - Phone:401-381-0066
Practice Address - Fax:401-381-0068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care