| NPI | 1578868212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINIVAS NIMMAGADDA Owner/Md 615-309-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD0000041393) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |