| NPI | 1083635908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL G. BURIDI Md/Owner 502-238-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2015-12-04 |