| NPI | 1609169465 |
|---|---|
| Doing Business As | VITALITY INTERGRATIVE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MAHESH TIPIRNENI Partner 1800-300-8464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 34480) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |