| NPI | 1619671658 |
|---|---|
| Doing Business As | LAS VEGAS PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | MIMI KURIAKOSE Physician/Owner 504-250-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-07-03 |