| NPI | 1508643628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHASHIKALA AMENENI Provider/Owner 480-648-7895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2024-12-13 |