| NPI | 1255486387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAO S MIKKILINENI Owner 770-991-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA GA023852) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA GA023852) |
| 207R00000X Internal Medicine (Licence: GA GA0233852) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: GA GA023852) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2011-09-13 |