| NPI | 1285961243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NALINI SRIDHAR BHALLA Sole Proprietor 602-499-1929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 30546) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |