| NPI | 1295598571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABAK SHABATIAN Medical Director, Owner 844-673-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-12-31 |