| NPI | 1619623063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAMRATA DASS Physician 346-999-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2025-09-17 |