| NPI | 1679800700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUSHAR G. PATEL President 276-963-2231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101037830) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2010-03-18 |