| NPI | 1902346562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIDHAR BOLLA President 317-228-3393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |