| 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 |