| NPI | 1750552493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATYAM TATINENI President Of Medical Group 812-464-0521 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 13012) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-03-21 |