| NPI | 1851525539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHEER GURRAM Owner 812-491-1307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 01040825) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2021-07-14 |