NPI | 1225145444 |
---|---|
Entity Type | Organization |
Authorized Contact | RAKESH SACHDEVA Pediatrician 606-432-0123 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 363A00000X Physician Assistant |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2006-08-24 |
Last Update Date | 2018-08-14 |