| NPI | 1174649354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REDDIVALEM VENKATA NAGESH Managing Partner 517-788-7866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI RN042337) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-27 |