| NPI | 1750072476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PANCHALI KHANNA Md 559-977-4749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-05-15 |