| NPI | 1861420952 |
|---|---|
| Former Legal Business Name | INTELLIMED INC. |
| Entity Type | Organization |
| Authorized Contact | NATESA SHANMUGAM Sole Proprietor 202-468-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0050412) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0050412) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-12-29 |