Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELIZABETH PARKS PROUT, MD
Active Sole ProprietorDR. ELIZABETH PARKS PROUT, MD is a Pediatric Gastroenterology healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1205817327 is currently active in the NPPES registry. Verify at CMS.
Pediatric Gastroenterology · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1205817327
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 7, 2005 (20.724184536606 yrs)
- Last Updated
- Nov 24, 2014
- Licenses
-
213338 (MA)MD431891 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3401 CIVIC CENTER BLVDCHILDREN'S HOSPITAL OF PHILA - GASTRO & NUTRITIONPHILADELPHIA, PA, 191044319Browse PA providers · Browse ZIP 19104
- Phone
- 2155903247
- Fax
- 2155903606
- Primary Specialty
-
Pediatric Gastroenterology
2080P0206X
- Additional Specialty
- Pediatric Gastroenterology
Other Pediatric Gastroenterology Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL A MANFREDI | M.D. | 1851362859 |
| KRISTIN NICOLE FIORINO | MD | 1821032921 |
| PATRICIA ANN DERUSSO | C.R.N.P. | 1386689131 |
| MEENA THAYU | M.D. | 1730118373 |
| MATTHEW J RYAN | M.D. | 1518997865 |
| JUDITH R KELSEN | MD | 1043245186 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.