Healthcare Provider Details

I. General information

NPI: 1730563883
Provider Name (Legal Business Name): EVGENIA SKLIROU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2015
Last Update Date: 10/03/2021
Certification Date: 10/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 PENN AVE CHILDREN'S HOSPITAL OF UPMC
PITTSBURGH PA
15224-1334
US

IV. Provider business mailing address

4401 PENN AVE CHILDREN'S HOSPITAL OF UPMC
PITTSBURGH PA
15224-1334
US

V. Phone/Fax

Practice location:
  • Phone: 421-692-5972
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License NumberMT462810
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: