| 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 |