| NPI | 1154626661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MURTUZA PEERBHAI Principal 765-420-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: IN #07001110A) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2013-04-15 |