| NPI | 1609938505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHARMESH K SHAH President 757-543-6861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101023718) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2014-09-29 |