NPI | 1144656950 |
---|---|
Entity Type | Organization |
Authorized Contact | SAVITHA BHAT KASTURI Physician 386-944-9704 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS10426) |
Enumeration Date | 2013-09-25 |
Last Update Date | 2018-02-21 |