NPI | 1558043430 |
---|---|
Entity Type | Organization |
Authorized Contact | SANJEEV KUMAR Owner/Md 901-698-9958 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2023-08-01 |
Last Update Date | 2023-11-10 |