| NPI | 1912009119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAIKADI RAVINDRA Director 765-453-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |