| NPI | 1659822864 |
|---|---|
| Doing Business As | FREESTATE HEALTH |
| Entity Type | Organization |
| Authorized Contact | ELISHA YAGHMAI President 800-924-8140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-33447) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-33447) |
| 208000000X Pediatrics (Licence: KS 04-33447) | |
| 208M00000X Hospitalist (Licence: KS 04-33447) | |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-12-29 |