| NPI | 1497408991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUHEL AHMED Owner 551-309-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-09-01 |