NPI | 1780146019 |
---|---|
Entity Type | Organization |
Authorized Contact | PRASAD A JEEREDDI President 909-398-1550 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Additional Taxonomies | 207T00000X Neurological Surgery |
Enumeration Date | 2019-04-04 |
Last Update Date | 2019-04-04 |