| NPI | 1124844949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJESH SHINDE Manager 267-243-8727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine |
| 207R00000X Internal Medicine | |
| 207RB0002X Internal Medicine, Bariatric Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-11-26 |