| NPI | 1518411636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHAKAR VENKATA MALLELA President 702-256-3637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2018-07-17 |