| NPI | 1396375069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KSHAMA KESHAVA BHAT President 855-942-5742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2021-03-23 |