| 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 |