| NPI | 1659301323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINESH U NAYAK President/Owner 937-549-2691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: OH 35067339N) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35067339N) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2016-09-26 |