| NPI | 1164605580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDHYA C DONEPUDI President 219-663-3554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01039622) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2008-01-22 |