| NPI | 1346509031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REDDIWANDLA SEENU REDDY Owner 619-461-6130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A38098) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |