| NPI | 1043166309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATUL SKARIYA VELLAPPALLY CEO 267-234-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363L00000X Nurse Practitioner | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2026-03-09 |
| Last Update Date | 2026-06-13 |