OrganizationActive
Endohealth
NPI 1710428305 · Pediatric Endocrinology Physician · Kennesaw, GA
Provider details
- NPI number
- 1710428305
- Entity type
- Organization
- Primary specialty
- Pediatric Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gayathri Devineni, Dr(678) 829-6030
- License
- 061573 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1690 Stone Village Ln Nw Ste 207
Kennesaw, GA 30152-7778
Phone: (678) 829-6030
Approximate (ZIP-level) locationGet directions
Mailing address
240 Glen Lake Dr
Atlanta, GA 30327-4818
Registry dates
- Enumerated
- 2017-03-15
- Last updated
- 2017-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.