| NPI | 1407459175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBRAMANYA VARA PRASAD GAJARAJU VENKATA Md/Owner 936-631-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2021-03-16 |