| NPI | 1962579136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATARAJAN THANNOLI President Owner 606-677-0854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2012-06-11 |