| NPI | 1750678728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATEEN AHMED Sole Owner 606-678-0946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2016-09-06 |