| NPI | 1134721145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHAKTASHARAN CHIMANBHAI PATEL Authorized Official / Medical Dr 719-636-1201 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-11-13 |