| NPI | 1164314290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAVEEN DEVINENI CEO 508-635-1386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-12-03 |