| NPI | 1922183334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIDEVI A VEDANTAM Member 765-962-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01047370A) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |