| NPI | 1790968741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDERSHAN KUMAR HOODA Owner 478-453-9472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 021521) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |