| NPI | 1972924520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHOK J PRASAD Sole Member/ Owner 855-739-9953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101248441) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101248441) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2021-11-04 |