Organization Name: | OAK ISLAND PEDIATRICS, P.A. |
NPI Number: | 1205815685 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUGTA KAHAI (PRESIDENT) |
Mailing Address: | 4734 Long Beach Rd Se Southport |
State: | NC US |
Postal Code: | 284618721 |
Phone Number: | 9104570070 |
Fax Number: | 9104570062 |
NPI Enumeration Date: | 01/12/2006 |
NPI Last Update Date: | 11/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 4773 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |