| NPI | 1669409330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIVESH R ANIREDDY Managing Partner 928-343-3084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2008-01-16 |