| NPI | 1801555784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAYANTH CHAMAKURA Owner 917-334-7534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2021-12-08 |