| NPI | 1770659120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYANTHI SUPPIAH Md 623-825-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |