| NPI | 1164795159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD JAVEED SHAFI Owner 865-982-5044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: TN MD30912) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2013-10-10 |