| NPI | 1508164211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHIR KUMAR REDDY Medical Director 909-946-4566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A48880) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2020-09-29 |