| NPI | 1003086935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOBHA PARVATHALA Doctor / Owner 480-703-4496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 24647) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2011-03-30 |