| NPI | 1669730628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIVANI K SRIKANTIAH Physician 480-522-9462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 34435) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2025-01-13 |