| NPI | 1134542855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIRIDHAR VEERULA Physician 260-436-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004759A) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-01-31 |