NPI | 1073644852 |
---|---|
Former Legal Business Name | SURESH N. PATHIKONDA, M.D, P.A. |
Entity Type | Organization |
Authorized Contact | SURESH N PATHIKONDA Owner 361-575-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2007-03-07 |
Last Update Date | 2013-06-06 |