NPI | 1689422735 |
---|---|
Former Legal Business Name | TRICROWN PLLC |
Entity Type | Organization |
Authorized Contact | TAMANNA NAHAR Owner 502-619-5400 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
Enumeration Date | 2024-05-13 |
Last Update Date | 2025-01-31 |