| NPI | 1548318645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIBYAJIBAN MAHAPATRA Physician 256-883-6966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 20939) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-09-09 |