| NPI | 1790069698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINIVAS ANAND RAO PONNERI Office Manager/Director Rcm 614-373-4202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2022-10-10 |