| NPI | 1811984099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUTCHAIAH GARLAPATI Owner 501-771-2799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2020-03-19 |