NPI | 1679963524 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMATHHA R REDDY Owner 619-900-7302 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A120797) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA A120797) |
Enumeration Date | 2015-01-30 |
Last Update Date | 2015-04-24 |