NPI | 1134822075 |
---|---|
Entity Type | Organization |
Authorized Contact | JAYVEER SODIWAL Credentialing 614-407-1614 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2023-03-22 |
Last Update Date | 2023-10-03 |