| NPI | 1710728316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR KHAN JILANI Physician 346-299-3354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2025-02-25 |