| NPI | 1760518369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVITHA JAGADEESAN Office Manager 520-876-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |