| NPI | 1790775112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAM KUMAR MADASU Physician 954-755-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME85117) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: FL ME85117) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: FL ME85117) | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: FL ME85117) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2008-02-21 |