| NPI | 1518397587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHYAMAL KISHORE MITRA Owner 252-525-3290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 00-35439) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 00-35439) | |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NC 00-35439) | |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2022-09-12 |