| NPI | 1093015828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANOOP KARIPPOT President 502-767-3795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: CA A111243) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A111243) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CA A111243) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C54071) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA C54071) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CA C54071) | |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2020-04-09 |