| NPI | 1134381999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATA SATYANARAYANA NAGIREDDI Member 636-937-2755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2004006669) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2011-03-01 |