| 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 |