| NPI | 1083627087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISHORE JADHAV Owner/Physician 606-599-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2025-09-11 |