| NPI | 1912995309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAKONDA DAYANANDA PRABHU President 702-877-9514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-08-22 |