| NPI | 1710305990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADHIKA A MANHAPRA Owner/President 757-460-4655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: VA 0101252176) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |