| NPI | 1972755650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHUVANENDRAM INDRAKRISHNAN Manager 404-274-4180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2016-06-21 |