| NPI | 1013797190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUTHUKUMAR VELLAICHAMY Owner 234-260-6212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics |
| 2080P0008X Pediatrics Neurodevelopmental Disabilities | |
| 2080P0201X Pediatrics Pediatric Allergy/Immunology | |
| 207NP0225X Dermatology Pediatric Dermatology | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 2080P0202X Pediatrics Pediatric Cardiology | |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine | |
| 2080P0205X Pediatrics Pediatric Endocrinology | |
| 2080P0206X Pediatrics Pediatric Gastroenterology | |
| 2080P0207X Pediatrics Pediatric Hematology-Oncology | |
| 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry | |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |