| NPI | 1306525811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPIKA MALKANI Owner 502-619-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2024-07-25 |