NPI | 1629447719 |
---|---|
Entity Type | Organization |
Authorized Contact | KAVITHA RUKKANNAGARI REDDY Physician 810-410-5148 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MI 4301085040) |
Enumeration Date | 2015-09-18 |
Last Update Date | 2016-11-17 |