| NPI | 1962872382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDAMA REDDI Member 954-729-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX Q0815) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |