| NPI | 1457604613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PINNAMANENI RAMAKRISHNA PRASAD Managing Partner 313-389-0648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |