| NPI | 1578540910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDESH REDDY Owner 740-387-0650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2013-05-30 |