| NPI | 1023225356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER T MALLAVARAPA Md/Owner 337-261-0928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2013-09-12 |