| NPI | 1205958956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVEK BHALLA President 234-312-5873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2022-04-27 |