| NPI | 1194913228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHENDER REDDY SURAKANTI M.D. 260-425-3204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01057700A) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2010-02-05 |