| NPI | 1659695765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBHASH KUMAR President 304-529-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KY 21331) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2013-02-21 |