| NPI | 1912107483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGESWARA RAO CHUNDURU President 615-867-3780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-10-02 |