| NPI | 1053499046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIQ MEHMOOD Owner/Physician 502-238-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 35413) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01055144A) |
| 363L00000X Nurse Practitioner (Licence: KY 3005396) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-04-23 |