| NPI | 1346554169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBBAREDDY PUCHALAPALLI Owner 812-232-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01046393A) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2011-02-09 |