| NPI | 1619416633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PUSHPANSHU PUSHPANSHU President 901-826-1977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD29566) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-03-28 |