| NPI | 1942616024 |
|---|---|
| Doing Business As | GENESIS PEDIATRIC ENDOCRINOLOGY |
| Entity Type | Organization |
| Authorized Contact | SHRIRAM KRISHNAN Practice Director 216-502-6465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2022-07-21 |