| NPI | 1174615025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVIN CHOUDHARY Owner 636-639-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2007036351) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207R00000X Internal Medicine (Licence: MO 2011002808) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2014-10-27 |