| NPI | 1851725345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRISHA RANI JANUMPALLY Owner 703-698-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101251431) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2014-01-29 |