| NPI | 1306041561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUR BADSHAH Medical Director 614-784-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 74899) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: OH 35-095587) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2014-03-06 |