NPI | 1164268165 |
---|---|
Former Legal Business Name | BHOWIK MEDICAL PRACTICE |
Entity Type | Organization |
Authorized Contact | LATISHA BYRD Office Billing Clerk 757-399-0701 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2024-07-08 |
Last Update Date | 2024-07-08 |