| NPI | 1063517084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHAKTAVATSALA R APURI Owner 260-434-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-12-29 |