Organization
PEDIATRIC SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IYAD ALJABI MD (PRESTIDENT)
(270) 830-0313
Entity
Organization
Contact information
Practice address
505 KLUTEY PARK PLAZA DR, HENDERSON, KY 42420-5224
(270) 830-0313
(270) 830-7117
Mailing address
505 KLUTEY PARK PLAZA DR, HENDERSON, KY 42420-5224
(270) 830-0313
(270) 830-7117
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
27411
KY
2080P0206X
Pediatric Gastroenterology Physician
Primary
27410
KY
Other
Enumeration date
12/27/2006
Last updated
09/11/2025
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