| NPI | 1548299662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNAIAH C TRIPURANENI Owner 225-715-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA R11566) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2025-08-08 |