| NPI | 1366176554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JITENDRA K PATEL President/Managing Member 980-202-1751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2023-08-31 |