| NPI | 1578218087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIRAG MUKESH PATEL Owner/Physician 502-808-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2024-04-04 |