| NPI | 1326684895 |
|---|---|
| Other Name | SHAM M VENGURLEKAR, MD |
| Entity Type | Organization |
| Authorized Contact | OWEN OWENS Sr. Administrator 480-314-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |