| NPI | 1982830873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UMESH VENKATA KODU President 571-223-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101034278) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101243313) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-05 |