| NPI | 1811025588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VADAKEPAT RAMGOPAL Owner 405-945-4816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: OK 1 1191) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2011-02-22 |