| NPI | 1497805360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUREKHA BANDLAMURI Md 520-622-7675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ 11203) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 31764) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2011-08-30 |