| NPI | 1386069987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHARANI BANGALORE NANJAIAH Physician 724-879-4642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA MD434991) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |