| NPI | 1316020399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUTCHAIAH KONDRAGUNTA Owner 804-722-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101223780) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2012-05-24 |