| NPI | 1336310135 |
|---|---|
| Former Legal Business Name | TRICOUNTY GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | ANAND GUPTA Owner 502-893-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 33458) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2020-03-06 |