| NPI | 1992312029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEEHARIKA REPAKA Owner 540-889-0199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2021-01-05 |