| NPI | 1932813557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUPRIYA DASARI Owner/Provider 510-825-2594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-10 |