| NPI | 1154758050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABHINANDANA ANANTHARAJU Sole Member/Physician 256-381-6304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-09 |