| NPI | 1427517606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREEDHAR REDDY TALLAPUREDDY Authorized Official 860-324-3219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2024-01-31 |