| NPI | 1225833742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASHANTH PORAYETTE Chief Executive Officer 317-709-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-02-18 |