| NPI | 1285749275 |
|---|---|
| Doing Business As | TRI STATE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | KIRTI K JAIN Md 606-836-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 21847) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: WV 13716) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WV 16608) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |