| NPI | 1649400490 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | HIMACHAL VELIGANDLA Owner 606-679-0581  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 40110)  | 
| Enumeration Date | 2009-07-14 | 
| Last Update Date | 2009-07-14 |