NPI | 1104510577 |
---|---|
Doing Business As | BURNABY MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | SYED TAHSIN AHMED Member 405-694-3989 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2023-06-07 |
Last Update Date | 2023-06-07 |