| NPI | 1174406623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATA LAKSHMI SIVA PRASAD EDUMUDI President 551-302-0310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-10-01 |