| NPI | 1114701497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKRANTH GONGIDI CEO 772-494-0794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-10-24 |