| NPI | 1316115041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNAPURNA JASTI MAODALI President 573-339-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH OH35071617) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |