| NPI | 1770950156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIKUMAR CULLATH Managing Director 703-563-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RI0200X Internal Medicine, Infectious Disease | |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-12-12 |