| NPI | 1396758710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHASKARAN N SREEKUMAR Administrator 270-821-0677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 33663) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-12-13 |