| NPI | 1225494628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURESH NELLORE Md 314-740-2949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 108767) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2024-07-18 |