| NPI | 1932398120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUJATA REDDY Owner 270-659-2530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 36781) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |