| NPI | 1114180031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANAJA SUREDDI President/Owner 469-360-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 75584) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2020-12-15 |