NPI | 1952318891 |
---|---|
Entity Type | Organization |
Authorized Contact | VENKATA RAMA RAJU PERICHERLA President 814-946-1818 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD064819L) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2020-08-22 |