| NPI | 1780338947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KINJAL B SOHAGIA Owner 757-500-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-08 |