| NPI | 1376965376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUKARRAM A. KHAN Do/Owner 859-426-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-05-19 |