| NPI | 1730470022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITHA CHANNABASAVAIAH President 209-458-3898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA A83221) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A83221) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A83221) | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |