| NPI | 1700250776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SACHIN JAIN President/CEO 882-911-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2018-11-08 |