| NPI | 1316266927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIVAREDDY TEGULAPALLE Sole Proprietor 269-968-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI ST045341) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-05-21 |