NPI | 1386838621 |
---|---|
Entity Type | Organization |
Authorized Contact | HARI GOPAL MADICHETTY Owner 770-633-3843 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 054405) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 054405) |
207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 054405) | |
Enumeration Date | 2007-08-29 |
Last Update Date | 2019-07-29 |