| NPI | 1316978745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATYANARAYANA MAMIDI Owner 304-831-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WV WV12853) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |