NPI | 1003251737 |
---|---|
Entity Type | Organization |
Authorized Contact | VENKATESWAR RAO VEERAPALLI Owner 540-419-5751 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: VA 0101058298) |
Enumeration Date | 2013-05-08 |
Last Update Date | 2013-05-08 |