| NPI | 1649209214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI KAMEPALLI Physician/Owner 567-204-0745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35066788) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-05-05 |