| NPI | 1023603073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMRAN AKHTAR Owner 502-916-3129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 207R00000X Internal Medicine | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2025-10-22 |