| NPI | 1073745493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHYAM K. AKKULUGARI CEO/Sole Owner 913-271-8676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2020-12-07 |