| NPI | 1619703667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURENDER MALHOTRA Md 478-246-2264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |