| NPI | 1598329625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMINA BHATTI Owner 606-261-6044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-07-24 |