Provider Demographics
NPI:1568816460
Name:CHILDERS, BETZAIRA GETZEMANI
Entity Type:Individual
Prefix:
First Name:BETZAIRA
Middle Name:GETZEMANI
Last Name:CHILDERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BETZAIRA
Other - Middle Name:GETZEMANI
Other - Last Name:JIMENEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:UNIVERSITY OF CINCINNATI DEPT OF SURGERY
Mailing Address - Street 2:231 ALBERT SABIN WAY, ML 0558
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45267-0558
Mailing Address - Country:US
Mailing Address - Phone:513-558-4206
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF CINCINNATI DEPT OF SURGERY
Practice Address - Street 2:231 ALBERT SABIN WAY, ML 0558
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45267-0558
Practice Address - Country:US
Practice Address - Phone:513-558-4206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-17
Last Update Date:2016-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program