| NPI | 1023603073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMRAN AKHTAR Owner 502-916-3130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2022-12-13 |