| NPI | 1093335267 | 
|---|---|
| Doing Business As | MY TELE DOCTOR | 
| Entity Type | Organization | 
| Authorized Contact | NIMISH GIRISH PATEL Owner 502-644-1000  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine | 
| Additional Taxonomies | 207Q00000X Family Medicine | 
| Enumeration Date | 2020-04-17 | 
| Last Update Date | 2020-10-05 |