| NPI | 1235800459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANJIT DHELARIA Owner 682-235-0825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-09-27 |