| NPI | 1326394974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINGAGOUD MEMULA Administrator 510-818-2011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2013-12-23 |