NPI | 1902976376 |
---|---|
Former Legal Business Name | VENKATA PULAKANTI MD |
Entity Type | Organization |
Authorized Contact | VENKATA S.R. PULAKANTI Doctor 909-496-1195 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A51071) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2022-07-21 |