| NPI | 1861814485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEETHA BALASUBRAMANIAN Owner 636-265-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2008019340) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2024-07-18 |