| 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 |