| NPI | 1518258946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRIKSHA MALLADI Secretary 917-420-3540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: WA MD00049049) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |