| NPI | 1457139552 |
|---|---|
| Former Legal Business Name | PROHEALTH PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | CHENAI MVUNDURA Manager 317-864-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-10-10 |