| NPI | 1093070781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALIL B DAHDAH Managing Partner 757-766-6080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| 2086S0129X | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |