NPI | 1205628484 |
---|---|
Former Legal Business Name | PEDSRUS LLC |
Entity Type | Organization |
Authorized Contact | PRIYANKA KAWALI Owner 650-933-7151 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2025-05-21 |
Last Update Date | 2025-05-21 |