| NPI | 1952317166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REKHA NUGARAM Director 804-415-1273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101236869) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2022-07-21 |