| NPI | 1811294481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATESWARA RAO SANKURATRI Mgrm 352-213-7028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL 93568) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-03-21 |