| NPI | 1578962932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASENDRA RAO THOTAHURD President/Owner 256-880-0376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL 12774) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2025-10-14 |