| NPI | 1144429101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMANA VENKATA CHENNUBHOTLA Owner 502-384-3401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KY 39338) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 39338) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2011-04-25 |