| NPI | 1558500918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAI P BHIMANI Owner 502-583-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2017-10-04 |