| NPI | 1962449520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VARDHAN J REDDY Owner 740-266-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35079717) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2014-04-07 |