| NPI | 1073575296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APARNA VELNATI President 478-542-7765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: GA 052326) |
| Additional Taxonomies | 2085P0229X Radiology Pediatric Radiology (Licence: GA 056665) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2020-08-22 |