NPI | 1548355894 |
---|---|
Entity Type | Organization |
Authorized Contact | AMITA D TRIVEDI Md Owner Provider 520-623-2642 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 12415) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2018-06-21 |