| NPI | 1265613830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMA CHERUKURI MULPURI Owner 989-799-6130 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 065512) |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2013-08-29 |