| NPI | 1255515953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVITHA SHIVANANDA Physician 410-391-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0052379) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2010-10-27 |