| NPI | 1447868419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI KUMAR KAMEPALLLI Owner 800-448-7414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |