Organization
UNIVERSITY PEDIATRIC GASTROENTEROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD P. RABALAIS MD (PRESIDENT)
(502) 852-8600
Entity
Organization
Contact information
Practice address
210 E GRAY STREET, STE 802, LOUISVILLE, KY 40202-3904
(502) 852-7670
Mailing address
PO BOX 2469, LOUISVILLE, KY 40201-2469
(502) 852-8500
(502) 852-8556
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200945670A
—
IN
05
—
7100063520
—
KY
Enumeration date
08/21/2008
Last updated
08/20/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us