| NPI | 1295736973 |
|---|---|
| Doing Business As | LONGEVITY BARIATRIC AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | PONNIAH S SANKARAPANDIAN President/CEO 817-877-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
| Additional Taxonomies | 204F00000X Transplant Surgery |
| 207N00000X Dermatology | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 207RT0003X Internal Medicine Transplant Hepatology | |
| 207V00000X Obstetrics & Gynecology | |
| 208600000X Surgery | |
| 2086X0206X Surgery Surgical Oncology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2018-06-16 |