| NPI | 1962532549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMA SUBBA RAO RAO KADIYALA Business Strategy Manager 304-363-3714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 19609) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-08-06 |