| NPI | 1376873760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOUMYA MADALA Owner 517-339-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: MI 4301085495) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301085495) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-02-18 |