| NPI | 1619743523 |
|---|---|
| Former Legal Business Name | N/A |
| Doing Business As | SMART PRIME CARE |
| Entity Type | Organization |
| Authorized Contact | ABHIJEET A NAKAVE Owner 509-833-4487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2024-08-29 |