| NPI | 1457642068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGADEESH SV KUMAR Sole Member 602-930-0509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0067588) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0067588) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2012-02-06 |