| NPI | 1396911327 |
|---|---|
| Doing Business As | TRI STATE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | SANJIV GUPTA M.D. 606-324-1996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |