NPI | 1255520409 |
---|---|
Entity Type | Organization |
Authorized Contact | ZAVEEN AHMAD KUREISHY Owner 304-845-8444 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 19309) |
Enumeration Date | 2007-10-23 |
Last Update Date | 2024-02-07 |