| NPI | 1386220630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHUSUDHAN PABBATHI Md And Owner 662-721-6428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2021-03-18 |