NPI | 1003962549 |
---|---|
Entity Type | Organization |
Authorized Contact | VUPPALA V REDDY Senior Partner 812-478-8888 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 0104962A) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2007-09-14 |