| NPI | 1942311675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKSHMI BHAGAVATHULA President 703-560-1733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101233031) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |