| NPI | 1285689216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI MEHAN President 772-873-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-10-13 |