NPI | 1407742265 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTINDER MALHOTRA Owner/Provider 740-821-4576 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2025-06-17 |
Last Update Date | 2025-06-17 |