| NPI | 1497108468 |
|---|---|
| Doing Business As | MD MEDICAL WEIGHT LOSS AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | SRINIVASU KESA President 317-548-4666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |