| NPI | 1225426711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMASANDRAPALYA KIRAN Chairman 810-720-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |