| NPI | 1689209157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINATH TAMIRISA Owner 916-947-6491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2023-10-02 |