NPI | 1568864239 |
---|---|
Doing Business As | RAVINDRANATH V SHAHANE |
Entity Type | Organization |
Authorized Contact | RAVINDRANATH SHAHANE President 909-875-3595 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA A87056) |
Enumeration Date | 2014-09-24 |
Last Update Date | 2014-09-24 |