| NPI | 1437795598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHDEV KUPPUSAMY Owner/Medical Director 480-550-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2020-04-27 |