| NPI | 1538656863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYSORE BHAGAVAN President 708-275-7458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-094099) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2019-12-04 |