| NPI | 1730828484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRAG SHAH Owner 520-305-2165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2024-10-15 |