| NPI | 1255050902 |
|---|---|
| Doing Business As | RIVERSIDE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | GAURANG RAVAJI BRAHMBHATT Cmo 551-257-7030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2023-06-02 |