| NPI | 1720116643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUJATHA ADDAGATLA President 716-298-1868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NY 190795-1) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2014-06-02 |