| 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 |