NPI | 1619852001 |
---|---|
Entity Type | Organization |
Authorized Contact | PURVI PRANAV PARIKH Sole Member 573-795-0019 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
Enumeration Date | 2025-08-06 |
Last Update Date | 2025-10-02 |