| NPI | 1699012161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRANATHI KONDAPANENI Owner 703-448-7745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: VA 0101253013) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |