| NPI | 1578311015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAZAI BAHRAM Owner/President 615-557-6692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2024-05-09 |