| NPI | 1972091585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIRISHA DONEKAL Md; Owner 571-426-1057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0069545) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |