NPI | 1023627940 |
---|---|
Entity Type | Organization |
Authorized Contact | OMKAR VAIDYA U. VAIDYA Md/Owner 816-588-0725 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2020-07-27 |
Last Update Date | 2021-04-22 |