| NPI | 1326934332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAYA MUKTHINUTHALAPATI President/CEO 831-800-7887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-09-25 |