| NPI | 1518197847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRABHAKARA R TUMPATI Owner/President 267-864-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: PA YM005236L) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA MD432380) |
| 207RB0002X Internal Medicine, Bariatric Medicine (Licence: PA MD432380) | |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2012-01-03 |