| NPI | 1629263181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIRIDHAR RAO VEERULA Owner 260-436-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 174400000X Specialist |
| 202D00000X Integrative Medicine | |
| 207N00000X Dermatology | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2025-04-23 |