| NPI | 1104259639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRADEEP K AGARWAL Provider 623-583-2073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 36655) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2022-11-09 |