| NPI | 1881149995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIRAM KRISHNASAMY Sole Member 931-542-2647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 822301) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 822301) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN TN 34189) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TN TN 34189) | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2017-03-23 |