| NPI | 1386035301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANJANAYA PRASAD RAO KORLIPARA Owner 772-489-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME54509) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |