| NPI | 1427528439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBRAMANYA VARA PRASAD GAJARAJU VENKATA Owner 936-639-0988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2021-03-16 |