Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Parkside Pediatric Clinic, PC

Organization Pediatrics Physician · NPI 1477781169

Parkside Pediatric Clinic, PC is a Pediatrics Physician in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2100 4th St
Jackson, MI 49203-4518
Phone: (517) 787-4332
Fax: (517) 787-4861
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301 031905 (MI)

Record details

NPI number1477781169
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katikineni Rao — President · (517) 787-4332
NPI enumeratedJuly 1, 2009
Last updated in NPPESJuly 1, 2009
Mailing address2100 4th St, Jackson, MI 49203-4518

Other providers in Jackson