| NPI | 1942257019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOPPOLU P SARMA President 219-942-5745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IN 01027669A) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2011-10-26 |