| NPI | 1346625456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAY MAYYA Managing Member 517-862-9343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N9264) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P5324) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2021-09-30 |