| NPI | 1265597033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAILAJA VELIGANDLA Owner 606-325-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 40111) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |