| NPI | 1114564721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAURAVI H SANGHADIA Authorized Official/Medical Doctor 804-514-6958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |