| NPI | 1174303077 |
|---|---|
| Other Name | MINDSHAPE CLINIC |
| Entity Type | Organization |
| Authorized Contact | HASSAN KHAN Medical Director 515-650-3031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2024-12-09 |