| NPI | 1659629194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHULAM IDREES Physician/Owner 740-387-8993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2023-05-15 |