| NPI | 1841654886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JYOTHI DYAVANAPALLI GUDLA President 330-830-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2018-05-22 |