| NPI | 1194239145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHUL DAULAT Owner 602-391-3968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2023-05-16 |