| NPI | 1205013653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREETHAM JETTY Owner 765-298-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01040154A) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-10-23 |