| NPI | 1336542042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSHANT RAM NAVALKAR Owner 216-906-4382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: VA 0101247587) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |