| NPI | 1467527044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUMAR B. ENNAMURI Owner 405-364-0630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2025-09-11 |