| NPI | 1922148113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANKARAIAH KOTHAPALLI Physician 337-266-5592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 10035R) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2016-03-08 |