| NPI | 1093957276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIMANSHU P DESAI Owner 740-264-2686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35066332) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 17863) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD069935L) | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-02 |