| NPI | 1558817387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED SHAFI Owner 331-205-5998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-09-01 |