| NPI | 1023237864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THARA R DAMODARAN Owner 480-720-8744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 35774) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2025-01-29 |