Perry Kids Pediatrics

Primary specialty

Pediatric Medical Toxicology PhysicianTaxonomy code 2080T0002X

License

MO105937 Issued in MO

Legal business name

PERRY KIDS PEDIATRICS

Practice address

210 Hospital LN
Perryville, MO 63775-1276

Phone

(573) 517-0999

Fax

(573) 517-0812

NPI assigned

May 7, 2008

Last updated

May 7, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bhargav M Kanani, M.D.NPI 1598738692

Title

Administrator

Phone

(573) 517-0999

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bhargav Kanani, MD

  • Pediatrics Physician
  • Perryville, MO
  • NPI 1598738692
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1417123761",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "210 HOSPITAL LANE",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "63670",
            "telephone_number": "573-517-0999",
            "fax_number": "543-517-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HOSPITAL LN",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751276",
            "telephone_number": "573-517-0999",
            "fax_number": "573-517-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY KIDS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "KANANI",
        "authorized_official_first_name": "BHARGAV",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-517-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080T0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Medical Toxicology",
            "state": "MO",
            "license": "MO105937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perry County Memorial Hospital (Perry County Memorial Hospital Ambulance Service LLC)
• Perry County School Dist 32
• Perry County Services, Inc
• Perry County Services, Inc.
• Perry County Sheltered Workshop
• Perry Oaks Nursing & Rehabilitation Center LLC
• Perryville Health Care Corporation (Prescription Plus)
• Perryville Health Care Corporation (Prescriptions Plus Longterm Care Pharmacy)
• Perryville Health Center LLC (Perryville Chiropractic Center)
• Perryville Healthcare Corporation (Prescriptions Plus Pharmacy)

• Pediatrics Physician in Perryville, MO
• Providers in Perryville, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.