| NPI | 1578934501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANANDAMADHURI VENKATA CHUNDURI Member 470-239-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 064911) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |