| NPI | 1073966487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIDHYA KANNAN Owner 480-246-2693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 46525) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-10-03 |