| NPI | 1497268015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMANATHAN K ILLANGO Owner 614-309-1265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2013-0749) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2018-06-16 |