| NPI | 1225214018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMA D PIDIKITI Physician 205-758-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AL MD.13295) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |