| NPI | 1063717304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VARA P BONAGIRI President 434-392-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101054184) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2012-03-02 |