| NPI | 1184865552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VEERABHADRA CHIRRAVURI Owner/Sole Member 270-887-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 35171) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-05-04 |