| NPI | 1003955485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAT H ANSARI President 574-234-5123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| 332900000X Non-Pharmacy Dispensing Site | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2019-01-09 |