Greshma Susan George
Pediatrics in Huntington, IN. Individual provider (NPI-1).
NPI number1356828065
StatusActive
Last updated in NPPESOct 14, 2022
Details
- NPI
- 1356828065
- Entity type
- Individual (NPI-1)
- Name
- Greshma Susan George
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2018
- Certification date
- Oct 14, 2022
- Last updated
- Oct 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 01085076A | IN | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2003 Stults Rd Ste 105Huntington, IN 46750-1291
Phone 260-355-3250
Mailing address
11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Other practice locations
7901 Broadway
Elmhurst, NY 11373-1329
Elmhurst, NY 11373-1329
Phone 718-334-2156
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