| NPI | 1700224862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | USHA KRISHNAMOORTHY Billing Office Manager 800-923-8835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60353692) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD204813) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2016-09-09 |