| NPI | 1073903373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RABINA MALIK-HAMIRANI Co Owner 304-834-3970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WV 20965) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 25689) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: WV 25689) | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |