| NPI | 1124301700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMAKRISHNA BANDI Doctor 330-920-1212 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA 12590-NP) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |