| NPI | 1063526663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVINDRANATH V. KANTAMNENI Owner/President 3347-932-6128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |