| NPI | 1649574286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMISH B SHAH Manager 256-489-3007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL 25611) |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2011-02-05 |