NPI | 1376755322 |
---|---|
Entity Type | Organization |
Authorized Contact | SATYANARAYANA R BASIREDDY President 770-886-3747 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 051209) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |