| NPI | 1265408900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARMILA SHANKAR Practice Manager 606-439-3952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2012-01-04 |