| NPI | 1508014648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGARAJU VEERAMACHANENI Owner 623-298-1744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 24392) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-11-24 |