| NPI | 1174017511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRAM TEHRANI Owner 336-306-9755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |