| NPI | 1366232431 |
|---|---|
| Other Name | AUTUMN LAKE HEALTHCARE AT BRADFORD OAKS |
| Entity Type | Organization |
| Authorized Contact | IBRAHIM MOHAMMED RIZQUI Owner 410-500-9182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207Y00000X Otolaryngology | |
| Enumeration Date | 2025-05-10 |
| Last Update Date | 2025-05-10 |