| NPI | 1811413305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI KUMAR R SINGAREDDY Sole Provider 717-482-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 77783) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: GA 77783) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |