| NPI | 1720680119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENU VEMURI Owner 502-242-6370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 225100000X Physical Therapist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2024-07-17 |