| NPI | 1669199881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDRANEEL CHAKRABARTY Owner 951-501-4252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-10-27 |