| NPI | 1306148697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASI NAYUDU M.D 229-338-4019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 047932) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2012-10-09 |