| NPI | 1225336852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IJAZ MAHMOOD Owner 270-300-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 261QX0200X Clinic/Center, Oncology (Licence: KY 31150) |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2014-11-25 |