| NPI | 1346438199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | USHA KURUMETY BULUSU Owner 989-791-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0009X Ophthalmology Glaucoma Specialist |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2020-01-30 |